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Organization
BLOSSOM KIDS THERAPY
Active
Organization
BLOSSOM KIDS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RYDER (AO)
(917) 615-4817
Entity
Organization
Contact information
Practice address
2156 E 66TH ST, BROOKLYN, NY 11234-6324
(646) 494-1128
Mailing address
9030 METROPOLITAN AVENUE, SUITE 3- #1052, REGO PARK, NY 11374
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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