CARLA WIDOM

ARVERNE, NY
NPI1396558417
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
Enumeration Date2025-01-31
Last Update Date2025-01-31
Business Address
CARLA WIDOM
422 BEACH 64TH ST
ARVERNE, NY 11692-1423
Phone number: 347-418-2787
Mailing Address
CARLA WIDOM
422 BEACH 64TH ST
ARVERNE, NY 11692-1423
Phone number: 347-418-2787