Organization
GENIUS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK GULYAKO (MEMBER)
(347) 372-3520
Entity
Organization
Contact information
Practice address
35 SEACOAST TER, APT 10L, BROOKLYN, NY 11235-6040
(347) 372-3520
Mailing address
35 SEACOAST TER, APT 10L, BROOKLYN, NY 11235-6040
(347) 372-3520
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/24/2017
Last updated
07/31/2017
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