ERICA LYNN AXELROD

SYOSSET, NY
NPI1679824213
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
(Licence: NY  696020961)
Additional Taxonomies252Y00000X Early Intervention Provider Agency
(Licence: NY  696021961)
252Y00000X Early Intervention Provider Agency
(Licence: NY  114093021)
Enumeration Date2012-09-22
Last Update Date2012-09-22
Business Address
-- ERICA LYNN AXELROD
5 POND DR
SYOSSET, NY 11791-2207
Phone number: 516-935-3828
Mailing Address
-- ERICA LYNN AXELROD
5 POND DR
SYOSSET, NY 11791-2207
Phone number: 516-935-3828