# BLUEBERRY EARLY INTERVENTION INC

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

## Provider details

- **NPI number:** 1427411461
- **Authorized official:** MS. HERMITE MARY LOUIS (DIRECTOR)
- **Authorized official phone:** (718) 465-4852

## Contact information

- **Practice address:** 8038 211TH ST, QUEENS VILLAGE, NY 11427-1013
- **Practice address phone:** (718) 465-4852
- **Mailing address:** 2479 PEACHTREE RD NE, ATLANTA, GA 30305-4100

## Taxonomy

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

## Other

- **Enumeration date:** 03/29/2016
- **Last updated:** 03/29/2016