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Organization
EBONY EYES COMMUNITY SERVICES CENTER INC.
Active
Organization
EBONY EYES COMMUNITY SERVICES CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EBONY ALTINA SANJURJO I CEO (CHIEF EXECUTIVE OFFICER)
(917) 544-3151
Entity
Organization
Contact information
Practice address
1646 ANDREWS AVE APT 3, BRONX, NY 10453-7347
(917) 544-3151
Mailing address
1646 ANDREWS AVE APT 3, BRONX, NY 10453-7347
(917) 544-3151
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
NULL
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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