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Organization
LIL EINSTEIN INC.
Active
Organization
LIL EINSTEIN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIBEL LINO MSED, TSHH (SPECIAL INSTRUCTION)
(917) 406-3243
Entity
Organization
Contact information
Practice address
4 RIDGEWOOD ST, VALLEY STREAM, NY 11580-2508
(917) 406-3243
Mailing address
672 DOGWOOD AVE # 211, FRANKLIN SQUARE, NY 11010-3247
(917) 406-3243
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10457
INDEPENDENT CONTRACTOR
NY
Enumeration date
09/12/2018
Last updated
09/13/2018
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