Most Relevant Information
Provider Data
NPI Number: | 1003356007 |
Provider Name: | MANSI BARAI |
Entity Type: | Individual |
Taxonomy Code: | 252Y00000X |
Specialty: | Early Intervention Provider Agency |
License Number: |
Most Important Dates
Enumeration Date: | 02/24/2017 |
Last Updated: | 02/24/2017 |
Provider Practice Location
1555 JENNIE ROAD
WANTAGH
NY
11793
Practice Location Phone/Fax
Phone: | 5163067354 |
Fax: |
Provider Mailing Location
1555 JENNIE ROAD
WANTAGH
NY
11793
Provider Mailing Phone/Fax
Phone: | |
Fax: |