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Organization
NOGGINSLAND, INC.
Active
Organization
NOGGINSLAND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HABER (OWNER)
(845) 901-4965
Entity
Organization
Contact information
Practice address
162 WILBUR AVE APT 1006, KINGSTON, NY 12401-6228
(845) 901-4965
Mailing address
162 WILBUR AVE APT 1006, KINGSTON, NY 12401-6228
(845) 901-4965
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/30/2020
Last updated
05/26/2021
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