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Organization
PROMED AGENCY
Active
Organization
PROMED AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SALLY PHILLIPS (STAFFING DIRECTOR)
(212) 719-9600
Entity
Organization
Contact information
Practice address
18 EAST 41 STREET, NEWYORK, NY 10017
(212) 719-9600
Mailing address
1943-76 STREET, BROOKLYN, NY 11214
(718) 331-0526
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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