Whalio Doctors

NPI 1245593482

Theresa Ann Cretella, MSED

Practitioner Early Intervention Provider Agency Massapequa Park, NY

Practice location

Address
14 Oakdale Pl, Massapequa Park, NY 11762-1916
Phone
(718) 344-2225
Mailing address
14 Oakdale Place, Massapequa Park, NY 11762

Registered specialties

Early Intervention Provider Agency Primary
Agencies Taxonomy 252Y00000X Licence 655550 (NY)

Registry record

NPI
1245593482
Entity type
Individual
Sex (as registered)
Female
NPI issued
22 Jun 2012
Record last updated
22 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.