Most Relevant Information
Provider Data
| NPI Number: | 1003250549 |
| Provider Name: | MICHELE IALLONARDI M.S. ED |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/26/2013 |
| Last Updated: | 04/26/2013 |
Provider Practice Location
169 PARK AVE
HAUPPAUGE
NY
117882923
Practice Location Phone/Fax
| Phone: | 6313664850 |
| Fax: |
Provider Mailing Location
169 PARK AVE
HAUPPAUGE
NY
117882923
Provider Mailing Phone/Fax
| Phone: | 6313664850 |
| Fax: |