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Organization
ACT ON IT EARLY INTERVENTION
Active
Organization
ACT ON IT EARLY INTERVENTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANE PINKHASOV (PROGRAM DIRECTOR)
(718) 213-3140
Entity
Organization
Contact information
Practice address
7515 MAIN ST, FLUSHING, NY 11367-2420
(718) 213-3140
(929) 244-7107
Mailing address
7515 MAIN ST, FLUSHING, NY 11367-2420
(718) 213-3140
(929) 244-7107
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
Other
Enumeration date
10/02/2017
Last updated
01/17/2022
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