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Organization
AMERIMED EIP
Active
Organization
AMERIMED EIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNA CHIMIREVA MS ED (TEACHER)
(646) 823-4780
Entity
Organization
Contact information
Practice address
539 BUEL AVE, STATEN ISLAND, NY 10305-3329
(646) 823-4780
Mailing address
539 BUEL AVE, STATEN ISLAND, NY 10305-3329
(646) 823-4780
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1381925
NY
Other
Enumeration date
06/14/2012
Last updated
06/14/2012
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