Provider Demographics
NPI:1407161672
Name:CUTRONE, KERRY (SPECIAL EDUCATOR)
Entity Type:Individual
Prefix:
First Name:KERRY
Middle Name:
Last Name:CUTRONE
Suffix:
Gender:F
Credentials:SPECIAL EDUCATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7949 JUNIPER VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLE VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11379-2728
Mailing Address - Country:US
Mailing Address - Phone:917-607-9887
Mailing Address - Fax:
Practice Address - Street 1:7949 JUNIPER VALLEY RD
Practice Address - Street 2:
Practice Address - City:MIDDLE VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11379-2728
Practice Address - Country:US
Practice Address - Phone:917-607-9887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-12
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1205968252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency