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Organization

NYC DEPARTMENT OF EDUCATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS JANUARY ANNE MAGNO M.S. OTR/L (SENIOR OCCUPATIONAL THERAPIST)
(718) 849-3845
Entity
Organization

Contact information

Practice address
13110 97TH AVE, SOUTH RICHMOND HILL, NY 11419-1600
(718) 849-3845
Mailing address
13110 97TH AVE, SOUTH RICHMOND HILL, NY 11419-1600
(718) 849-3845

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
014825-1
NY
252Y00000X
Early Intervention Provider Agency
014825-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
225X00000X
NY
Enumeration date
11/08/2010
Last updated
11/08/2010
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