Organization
NOT JUST KIDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY CO0LANGELO MS (PRESIDENT)
(631) 300-6153
Entity
Organization
Contact information
Practice address
689 NICOLLS RD, DEER PARK, NY 11729-2725
(631) 300-6153
Mailing address
689 NICOLLS RD, DEER PARK, NY 11729-2725
(631) 300-6153
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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