Individual
CASSIE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
67 MAGNOLIA AVE, FLORAL PARK, NY 11001-2839
(516) 448-0775
Mailing address
67 MAGNOLIA AVE, FLORAL PARK, NY 11001-2839
(516) 448-0775
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002267
NY
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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