Organization
LILEE JS CORPORATION
Active
Other names
Lilee JS Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEANNE LANSIQUOT MS ED (OWNER)
(860) 690-5118
Entity
Organization
Contact information
Practice address
197 BAINBRIDGE ST, BROOKLYN, NY 11233-3992
(860) 690-5118
Mailing address
197 BAINBRIDGE ST, BROOKLYN, NY 11233-3992
(860) 690-5118
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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