Organization
EARLY MILESTONE DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZA GUTMAN MAED (DIRECTOR)
(718) 755-5859
Entity
Organization
Contact information
Practice address
13 BENTLEY AVE STE A, JERSEY CITY, NJ 07304-1901
(718) 755-5859
Mailing address
43A DEVON LOOP, STATEN ISLAND, NY 10314-7503
(718) 755-5859
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
214530
NY
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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