# JEA EARLY INTERVENTION SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JEA Early Intervention Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497278782
- **Authorized official:** JOSIANE ANGLADE MD (SPECIAL ED TEACHER)
- **Authorized official phone:** (917) 288-5753

## Contact information

- **Practice address:** 93-46 215 STREET, QUEENS VILLAGE, NY 11428
- **Practice address phone:** (917) 288-5753
- **Mailing address:** 9346 215TH ST, QUEENS VILLAGE, NY 11428-1708
- **Mailing address phone:** (917) 288-5753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | TF-3534719 | NY | Yes |

## Other

- **Enumeration date:** 07/19/2017
- **Last updated:** 07/21/2022