KIMBERLY A ANNICELLI

PORT JEFFERSON STATION, NY
NPI1033687850
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
Enumeration Date2018-11-09
Last Update Date2018-11-09
Business Address
KIMBERLY A ANNICELLI
79 CROWN ST
PORT JEFFERSON STATION, NY 11776-2801
Phone number: 631-949-5894
Mailing Address
KIMBERLY A ANNICELLI
79 CROWN ST
PORT JEFFERSON STATION, NY 11776-2801
Phone number: 631-949-5894
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