# NYC DEPT OF ED

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

## Provider details

- **NPI number:** 1528327848
- **Authorized official:** BRUCE A WILLIAMS M.S., M.A. OTR/L (SENIOR OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (212) 722-6507

## Contact information

- **Practice address:** 240 E 109TH ST, 104C, NEW YORK, NY 10029-3703
- **Practice address phone:** (212) 722-6507
- **Mailing address:** 240 E 109TH ST, 104C, NEW YORK, NY 10029-3703
- **Mailing address phone:** (212) 722-6507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 011515 | NY | Yes |

## Other

- **Enumeration date:** 05/07/2012
- **Last updated:** 05/07/2012