# FULL CIRCLE EIP INC

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

## Provider details

- **NPI number:** 1639937436
- **Authorized official:** MS. YULIYA SAGIDULLINA MSSPEED (PROGRAM DIRECTOR)
- **Authorized official phone:** (929) 434-4334

## Contact information

- **Practice address:** 2675 OCEAN AVE APT 6A, BROOKLYN, NY 11229-4615
- **Practice address phone:** (929) 434-4334
- **Mailing address:** 2675 OCEAN AVE APT 6A, BROOKLYN, NY 11229-4615
- **Mailing address phone:** (929) 434-4334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/07/2024
- **Last updated:** 03/07/2024