Organization
ACHIEVE BEYOND OEDIATRIC THERAPY AND EARLY INTERVENTION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA KALIETA (PROVIDER RELATIONS MANAGER)
(631) 835-7780
Entity
Organization
Contact information
Practice address
1103 STONEGATE WAY, MIDDLE ISLAND, NY 11953
(631) 456-9400
Mailing address
1103 STONEGATE WAY, MIDDLE ISLAND, NY 11953-1465
(631) 456-9400
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/01/2013
Last updated
04/01/2013
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