# OWL EARLY INTERVENTION PROGRAM, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942899901
- **Authorized official:** GINA LEVY M.S. CCC-SLP, TSSLD (CEO)
- **Authorized official phone:** (917) 986-5560

## Contact information

- **Practice address:** 535 FLUSHING AVE, BROOKLYN, NY 11205-1120
- **Practice address phone:** (929) 800-2340
- **Mailing address:** 1689 GLENMORE AVE, EAST MEADOW, NY 11554-2828
- **Mailing address phone:** (917) 968-5560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/14/2021
- **Last updated:** 01/14/2021