# GROW AND THRIVE LLC

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

## Provider details

- **NPI number:** 1386336832
- **Authorized official:** SVETLANA RUBINOV MS.SPED (SPECIAL EDUCATION TEACHER)
- **Authorized official phone:** (917) 916-7267

## Contact information

- **Practice address:** 5028 UTOPIA PKWY, FRESH MEADOWS, NY 11365-1633
- **Practice address phone:** (917) 916-7267
- **Mailing address:** 5028 UTOPIA PKWY, FRESH MEADOWS, NY 11365-1633
- **Mailing address phone:** (917) 916-7267

## Taxonomy

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

## Other

- **Enumeration date:** 05/23/2023
- **Last updated:** 05/23/2023