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Organization
PM EVALUATION & THERAPY SERVICES
Active
Organization
PM EVALUATION & THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PRISCAH MUSONZA MS.SPED (DIRECTOR)
(631) 332-8736
Entity
Organization
Contact information
Practice address
172 TREE AVE, CENTRAL ISLIP, NY 11722-3546
(361) 332-8736
(631) 539-2826
Mailing address
172 TREE AVE, CENTRAL ISLIP, NY 11722-3546
(631) 332-8736
(631) 539-2826
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
703380
NY
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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