Organization
EARLY CHILDHOOD INTERVENTION SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULA SIMS MS CCC-SLP (DIRECTOR)
(718) 977-0110
Entity
Organization
Contact information
Practice address
14459 176TH ST, JAMAICA, NY 11434-4932
(718) 344-4508
Mailing address
14459 176TH ST, JAMAICA, NY 11434-4932
(718) 344-4508
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
O17O19
NY
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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