Individual
MS. LISA ROBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
541 VANDALIA AVE # 3, BROOKLYN, NY 11239-2810
(347) 493-5850
Mailing address
541 VANDALIA AVE # 3, BROOKLYN, NY 11239-2810
(347) 493-5850
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
796960
NY
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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