Organization
EARLY THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YULIYA YADGAROVA MS ED (SPECIAL ED TEACHER)
(646) 236-0328
Entity
Organization
Contact information
Practice address
6565 BOOTH ST APT 109, REGO PARK, NY 11374-4136
(646) 236-0328
Mailing address
6565 BOOTH ST APT 109, REGO PARK, NY 11374-4136
(646) 236-0328
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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