Carla Widom

NPI #1396558417 in Arverne, New York

Provider Information

NPI Number
1396558417
Entity Type
Individual
Name
Carla Widom
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Jan 31, 2025
Last Updated
Jan 31, 2025

Practice Location

Address
422 BEACH 64TH ST
ZIP Code
11692-1423
Phone
(347) 418-2787

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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