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1033473723
EILEEN KELLY
SYOSSET, NY
NPI
1033473723
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
(Licence: NY 5111)
Enumeration Date
2012-06-27
Last Update Date
2012-06-27
Business Address
-- EILEEN KELLY MA
47 HUMPHREY DR
SYOSSET, NY 11791-4022
Phone number: 516-921-7171
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Mailing Address
-- EILEEN KELLY MA
19 JEFFERSON AVE
MASSAPEQUA PARK, NY 11762-2613
Phone number: 516-798-8681
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