# MARATHON INFANTS & TODDLERS

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

## Provider details

- **NPI number:** 1962072496
- **Authorized official:** CRISTINA B MOQUETE (EI SERVICE COORDINATOR)
- **Authorized official phone:** (347) 892-0878

## Contact information

- **Practice address:** 22018 HORACE HARDING EXPY, BAYSIDE, NY 11364-2227
- **Practice address phone:** (718) 423-0056
- **Mailing address:** 322 KEAR ST APT 2A, YORKTOWN HEIGHTS, NY 10598-4461
- **Mailing address phone:** (347) 892-0878

## Taxonomy

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

## Other

- **Enumeration date:** 06/28/2021
- **Last updated:** 06/28/2021