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Organization
EARLY INTERVENTION CENTER OF BROOKLYN
Active
Organization
EARLY INTERVENTION CENTER OF BROOKLYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIOU-JUNG HO MA, OTR/L (PROGRAM DIRECTOR)
(718) 599-3300
Entity
Organization
Contact information
Practice address
70 HAVEMEYER ST, BROOKLYN, NY 11211-2151
(718) 599-3300
(718) 599-3690
Mailing address
70 HAVEMEYER ST, BROOKLYN, NY 11211-2151
(718) 599-3300
(718) 599-3690
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
2251P0200X
Pediatric Physical Therapist
—
NULL
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
NULL
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
3529
NY
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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