Individual
MRS. ELIZABETH ANN VANKLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ED., C.A.G.S.
Contact information
Practice address
14 GRANGER AVE, FLORAL PARK, NY 11001-2209
(516) 406-0768
Mailing address
14 GRANGER AVE, FLORAL PARK, NY 11001-2209
(516) 406-0768
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
491511
NY
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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