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Organization
JVJ EARLY INTERVENTION CORP
Active
Organization
JVJ EARLY INTERVENTION CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSE WYKA MSED (CEO)
(516) 404-1690
Entity
Organization
Contact information
Practice address
176 LITTLE NECK RD, CENTERPORT, NY 11721-1144
(516) 404-1690
Mailing address
176 LITTLE NECK RD, CENTERPORT, NY 11721-1144
(516) 404-1690
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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