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Organization
LEAP FOR KIDS
Active
Organization
LEAP FOR KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM MAURO (OWNER/EXECUTIVE DIRECTOR)
(585) 298-8876
Entity
Organization
Contact information
Practice address
1100 UNIVERSITY AVE, ROCHESTER, NY 14607-1653
(585) 797-9366
Mailing address
6512 N LAKE RD, BERGEN, NY 14416-9540
(585) 813-9428
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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