# GMMD CORP

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

## Provider details

- **NPI number:** 1265779375
- **Authorized official:** GERDA M ETIENNE VAVAL (SPECIAL EDUCATION, TSHH)
- **Authorized official phone:** (516) 263-9905

## Contact information

- **Practice address:** 310 NASSAU AVE, FREEPORT, NY 11520-6119
- **Practice address phone:** (516) 263-9905
- **Mailing address:** 310 NASSAU AVE, FREEPORT, NY 11520-6119

## Taxonomy

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

## Other

- **Enumeration date:** 01/09/2013
- **Last updated:** 01/09/2013