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Organization
RILY M KIDS CORP.
Active
Organization
RILY M KIDS CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA OLIN (FILER)
(917) 217-7974
Entity
Organization
Contact information
Practice address
670 PARKSIDE AVE, BROOKLYN, NY 11226-1506
(718) 675-1249
Mailing address
10 BANK ST STE 560, WHITE PLAINS, NY 10606-1952
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
012883-1
NY
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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