Organization
SKIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY BIEBER (TEACHER, SPECIAL ED.)
(631) 236-7644
Entity
Organization
Contact information
Practice address
457 18TH ST, WEST BABYLON, NY 11704-2201
(631) 236-7644
Mailing address
457 18TH ST, WEST BABYLON, NY 11704-2201
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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