Organization
LIFE START
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER LANNI (CLINICAL SUPERVISOR)
(646) 291-8383
Entity
Organization
Contact information
Practice address
125 CHRISTOPHER ST APT 4G, NEW YORK, NY 10014-4282
(646) 284-5393
Mailing address
125 CHRISTOPHER ST APT 4G, NEW YORK, NY 10014-4282
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
017465
NY
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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