Organization
CHIP,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE SORRENTINO MS (SPECIAL INSTRUCTION TEACHER)
(718) 938-0318
Entity
Organization
Contact information
Practice address
4024 AMBOY RD, STATEN ISLAND, NY 10308-2409
(718) 984-4154
Mailing address
176 RETFORD AVE, STATEN ISLAND, NY 10312-5515
(718) 938-0318
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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