# EMINEM CARE INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184103137
- **Authorized official:** MAGALIE MATHIEU (SPECIAL ED)
- **Authorized official phone:** (917) 656-0474

## Contact information

- **Practice address:** 872 PARK LN, VALLEY STREAM, NY 11581-2713
- **Practice address phone:** (917) 656-0474
- **Mailing address:** 872 PARK LN, VALLEY STREAM, NY 11581-2713
- **Mailing address phone:** (917) 656-0474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NY | Yes |

## Other

- **Enumeration date:** 08/10/2018
- **Last updated:** 08/10/2018