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Organization
NYC DEPT OF ED
Active
Organization
NYC DEPT OF ED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE A WILLIAMS M.S., M.A. OTR/L (SENIOR OCCUPATIONAL THERAPIST)
(212) 722-6507
Entity
Organization
Contact information
Practice address
240 E 109TH ST, 104C, NEW YORK, NY 10029-3703
(212) 722-6507
Mailing address
240 E 109TH ST, 104C, NEW YORK, NY 10029-3703
(212) 722-6507
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
011515
NY
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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