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Organization
MESIDOR EARLY INTERVENTION LLC
Active
Organization
MESIDOR EARLY INTERVENTION LLC
Active
Other names
Micheline Mesidor
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELINE MESIDOR MS (SPECIAL INSTRUCTOR)
(347) 410-3248
Entity
Organization
Contact information
Practice address
7916 147TH ST APT C8, FLUSHING, NY 11367-3766
(347) 410-3248
Mailing address
7916 147TH ST APT C8, FLUSHING, NY 11367-3766
(347) 410-3248
(347) 960-7625
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
328194
NY
Other
Enumeration date
02/24/2018
Last updated
08/17/2018
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