Provider Demographics
NPI:1548523913
Name:CURLEY, ELEANOR THERESA (MSED)
Entity type:Individual
Prefix:
First Name:ELEANOR
Middle Name:THERESA
Last Name:CURLEY
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 SIMON LN
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-5008
Mailing Address - Country:US
Mailing Address - Phone:518-783-6370
Mailing Address - Fax:
Practice Address - Street 1:23 SIMON LN
Practice Address - Street 2:
Practice Address - City:LATHAM
Practice Address - State:NY
Practice Address - Zip Code:12110-5008
Practice Address - Country:US
Practice Address - Phone:518-783-6370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-20
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist