Rosalynn Bristol

NPI #1619415031 in Massapequa Park, New York

Provider Information

NPI Number: 1619415031
Entity Type: Individual
Name: Rosalynn Bristol
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Early Intervention Provider Agency
Enumeration Date: Feb 6, 2017
Last Updated: Feb 6, 2017

Practice Location

Address: 33 TOWN HOUSE DR
City: Massapequa Park
State: New York
ZIP Code: 11762-1162
Phone: (917) 440-6743

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Early Intervention Provider Agency	252Y00000X	Primary

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