# LILY EARLY INTERVENTION LLC

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

## Provider details

- **NPI number:** 1396594834
- **Authorized official:** YISHENG CHU (SERVICE PROVIDER)
- **Authorized official phone:** (646) 552-2339

## Contact information

- **Practice address:** 8812 ELMHURST AVE APT 6L, ELMHURST, NY 11373-1518
- **Practice address phone:** (646) 552-2339
- **Mailing address:** 8812 ELMHURST AVE APT 6L, ELMHURST, NY 11373-1518
- **Mailing address phone:** (646) 552-2339

## Taxonomy

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

## Other

- **Enumeration date:** 05/16/2024
- **Last updated:** 05/24/2024