Organization
RISING STARS INTERVENTION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA LOTOYA COOPER MSED (OWNER/DIRECTOR)
(718) 809-6927
Entity
Organization
Contact information
Practice address
125 S COTTAGE ST, 211, VALLEY STREAM, NY 11580-6361
(516) 599-5431
(516) 887-4610
Mailing address
125 S COTTAGE ST, 211, VALLEY STREAM, NY 11580-6361
(516) 599-5431
(516) 887-4610
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1857949
NY
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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