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Organization
EARLY IMPACT THERAPY LLC
Active
Organization
EARLY IMPACT THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH ISKHAKOV (CO-OWNER)
(347) 339-1123
Entity
Organization
Contact information
Practice address
4 TAMARACK LN, POMONA, NY 10970-2010
(347) 339-1123
Mailing address
4 TAMARACK LN, POMONA, NY 10970-2010
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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