# E.SHOLOM INC.

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

## Provider details

- **NPI number:** 1750698353
- **Authorized official:** MRS. CAMILLE PETERS-REFFELL LMSW (PROGRAM DIRECTOR)
- **Authorized official phone:** (718) 441-0155

## Contact information

- **Practice address:** 13411 KEW GARDENS RD, RICHMOND HILL, NY 11418-1930
- **Practice address phone:** (718) 441-0155
- **Practice address fax:** (718) 850-4720
- **Mailing address:** 13411 KEW GARDENS RD, RICHMOND HILL, NY 11418-1930
- **Mailing address phone:** (718) 441-0155
- **Mailing address fax:** (718) 850-4720

## Taxonomy

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

## Other

- **Enumeration date:** 09/03/2010
- **Last updated:** 09/03/2010