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Colleen Mulcahy-Ladyzhinsky, MSE

Early Intervention Provider Agency in Staten Island, NY. Individual provider (NPI-1).

NPI number1760746366
StatusActive
Last updated in NPPESJun 27, 2012

Details

NPI
1760746366
Entity type
Individual (NPI-1)
Name
Colleen Mulcahy-Ladyzhinsky
Credential
MSE
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 27, 2012
Last updated
Jun 27, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
252Y00000X Early Intervention Provider Agency–NYYes

Practice location

187 Guyon Ave
Staten Island, NY 10306-3947

Phone 347-539-2425 · Fax 718-351-4222

Mailing address

187 Guyon Ave
Staten Island, NY 10306-3947

Phone 347-539-2425 · Fax 718-351-4222

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