Julianne Fairbrother

NPI #1104340520 in Melville, New York

Provider Information

NPI Number
1104340520
Entity Type
Individual
Name
Julianne Fairbrother
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Jul 27, 2017
Last Updated
Jul 27, 2017

Practice Location

Address
538 BROADHOLLOW RD
ZIP Code
11747-3676
Phone
(631) 385-7780

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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