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Organization
PREMIUM EARLY INTERVENTION LLC
Active
Organization
PREMIUM EARLY INTERVENTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHE LEVINE (CEO)
(347) 675-9285
Entity
Organization
Contact information
Practice address
2 GARFIELD RD UNIT 201, MONROE, NY 10950-6026
(347) 675-9285
Mailing address
2 GARFIELD RD UNIT 201, MONROE, NY 10950-6026
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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