Organization
MEDLOCK INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON CHRISTINE MEDLOCK MSED (SPECIAL EDUCATION TEACHER)
(917) 348-8578
Entity
Organization
Contact information
Practice address
1575 UNIONPORT ROAD 3F, B RONX, NY 10462
(917) 348-8578
(718) 828-4523
Mailing address
1575 UNIONPORT ROAD 3F, B RONX, NY 10462
(917) 348-8578
(718) 828-4523
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
05/11/2016
Last updated
07/21/2022
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