| NPI | 1255095816 |
|---|---|
| Former Name | CID MARIE ROSARIO QUINONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 4025636) |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2021-10-28 |