Individual
MS. LINDA IACOBELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS PSYCHOLOGY
Contact information
Practice address
41 EVA AVE, STATEN ISLAND, STATEN ISLAND, NY 10306-5609
(646) 996-1643
Mailing address
41 EVA AVE, STATEN ISLAND, STATEN ISLAND, NY 10306-5609
(646) 996-1643
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
NY
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/06/2015
Last updated
03/06/2015
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