Organization
GLIDING STARS OF WNY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIE MOKHIBER (EXECUTIVE DIRECTOR)
(716) 608-8345
Entity
Organization
Contact information
Practice address
1307 MILITARY RD, BUFFALO, NY 14217-1532
(716) 608-8345
Mailing address
1307 MILITARY RD, BUFFALO, NY 14217-1532
(716) 608-8345
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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