Organization
THE CHILD CENTER OF NY
Active
Other names
Early Intervention Program
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEAN M COPPOLA (BILLING MANAGER)
(718) 651-7770
Entity
Organization
Contact information
Practice address
14015 SANFORD AVE, 2ND FLOOR (140-15B), FLUSHING, NY 11355-2557
(718) 539-2500
(718) 358-5265
Mailing address
14015 SANFORD AVE, 2ND FLOOR (140-15B), FLUSHING, NY 11355-2557
(718) 539-2500
(718) 358-5265
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66800
EI PROVIDER #
—
Enumeration date
03/06/2008
Last updated
03/06/2008
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