Most Relevant Information
Provider Data
| NPI Number: | 1003559782 |
| Provider Name: | MOLLIE ANN ROONEY |
| Entity Type: | Individual |
| Taxonomy Code: | 222Q00000X |
| Specialty: | Developmental Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/19/2022 |
| Last Updated: | 04/19/2022 |
Provider Practice Location
2 STEVEN CT
DEER PARK
NY
117293415
Practice Location Phone/Fax
| Phone: | 6316626695 |
| Fax: |
Provider Mailing Location
2 STEVEN CT
DEER PARK
NY
117293415
Provider Mailing Phone/Fax
| Phone: | 6316626695 |
| Fax: |