# SUNSHINE INFANTS AND TODDLERS EARLY INTERVENTION PROGRAM, LLC

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

## Provider details

- **NPI number:** 1194118307
- **Authorized official:** MRS. TERRY TYLER SEYMORE-COLLINS M.S. CCC-SLP (DIRECTOR/SLP)
- **Authorized official phone:** (718) 671-6885

## Contact information

- **Practice address:** 120 ELGAR PL APT 3K, BRONX, NY 10475-5149
- **Practice address phone:** (718) 671-6885
- **Mailing address:** 120 ELGAR PL APT 3K, BRONX, NY 10475-5149
- **Mailing address phone:** (718) 671-6885

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 009439 | NY | Yes |

## Other

- **Enumeration date:** 03/12/2015
- **Last updated:** 05/11/2016
