Organization
BURST OF GENIUS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RODERICA MCCLOUD M.S. ED (PRESIDENT & CEO)
(917) 495-7340
Entity
Organization
Contact information
Practice address
80 CHAUNCEY ST, APT. 3, BROOKLYN, NY 11233-1809
(917) 495-7340
Mailing address
80 CHAUNCEY ST, APT. 3, BROOKLYN, NY 11233-1809
(917) 495-7340
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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