Organization
SUNSHINE INFANTS TODDLERS EARLY INTERVENTION PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRY T SEYMORE-COLLINS SLP (SPEECH LANGUAGE PATHOLOGIST)
(718) 671-6885
Entity
Organization
Contact information
Practice address
120 ELGAR PL, SUITE # 3 K, BRONX, NY 10475-5149
(718) 671-6885
Mailing address
120 ELGAR PL APT 3K, BRONX, NY 10475-5149
(718) 671-6885
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
009439
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205080256
SOLE PROPRIETOR
NY
Enumeration date
05/27/2009
Last updated
06/03/2009
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