MARY SQUILLACE

LONG BEACH, NY
NPI1700035862
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
(Licence: NY  0076971)
Enumeration Date2008-09-13
Last Update Date2008-09-13
Business Address
-- MARY SQUILLACE OT
710 LINCOLN BLVD
LONG BEACH, NY 11561-2316
Phone number: 516-889-6939
Mailing Address
-- MARY SQUILLACE OT
710 LINCOLN BLVD
LONG BEACH, NY 11561-2316
Phone number: 516-889-6939
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