Individual
LAURA SQUILLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 WARREN PL, MERRICK, NY 11566-1933
(917) 744-7905
Mailing address
14 WARREN PL, MERRICK, NY 11566-1933
(917) 744-7905
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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