Organization
EXCEPTIONAL INDIVIDUAL SERVICES CORP.
Active
Other names
Benny
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN ROMINE (COMPLIANCE OFFICER)
(917) 740-5169
Entity
Organization
Contact information
Practice address
79 MADISON AVE, NEW YORK, NY 10016-7802
(917) 740-5169
Mailing address
374 W 116TH ST, APT.2B, NEW YORK, NY 10026-2022
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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