# EAS108 CORP

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

## Provider details

- **NPI number:** 1619601176
- **Authorized official:** SARAH COHN (EARLY INTERVENTION PROVIDER)
- **Authorized official phone:** (718) 915-0018

## Contact information

- **Practice address:** 200 CORBIN PL APT 4D, BROOKLYN, NY 11235-4930
- **Practice address phone:** (718) 915-0018
- **Mailing address:** 200 CORBIN PL APT 4D, BROOKLYN, NY 11235-4930
- **Mailing address phone:** (718) 915-0018

## Taxonomy

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

## Other

- **Enumeration date:** 07/11/2022
- **Last updated:** 07/11/2022