Sara Wallace
Sara Wallace is an Early Intervention Provider Agency in Lindenhurst, New York. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
887 Kellum StLindenhurst, NY 11757-1508
Phone: (631) 626-4861
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Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X |
|---|
Record details
| NPI number | 1871324855 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 12, 2024 |
| Last updated in NPPES | August 12, 2024 |
| Certification date | August 11, 2024 |
| Mailing address | 15 Shamrock Ln, Centereach, NY 11720-3057 |
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