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Organization
EARLY START ASSOCIATES
Active
Organization
EARLY START ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA JOHANET MSED (PRESIDENT)
(845) 325-3190
Entity
Organization
Contact information
Practice address
4 MANCINI CT, CORNWALL, NY 12518-1044
(845) 325-3190
Mailing address
4 MANCINI CT, CORNWALL, NY 12518-1044
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
Other
Enumeration date
11/17/2012
Last updated
11/17/2012
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