Individual
MRS. BARBARA LYN BOCCHINO MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
53 ACACIA AVE, STATEN ISLAND, NY 10308-2623
(718) 984-2869
Mailing address
53 ACACIA AVE, STATEN ISLAND, NY 10308-2623
(718) 984-2869
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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