# EARLY R.E.I.D. INC

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

## Provider details

- **NPI number:** 1497220602
- **Authorized official:** INESSA BANGIYEVA (PRESIDENT)
- **Authorized official phone:** (718) 415-4709

## Contact information

- **Practice address:** 10820 62ND DR APT 5F, FOREST HILLS, NY 11375-1212
- **Practice address phone:** (718) 415-4709
- **Mailing address:** 10820 62ND DR APT 5F, FOREST HILLS, NY 11375-1212

## Taxonomy

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

## Other

- **Enumeration date:** 10/04/2018
- **Last updated:** 10/04/2018