Organization
A PLACE FOR MY SPECIAL NEEDS EARLY INTERVENTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKEESHA LOCKITT (PRESIDENT)
(631) 434-6665
Entity
Organization
Contact information
Practice address
14 CLARKE ST, BRENTWOOD, NY 11717-2002
(631) 434-6665
Mailing address
14 CLARKE ST, BRENTWOOD, NY 11717-2002
(631) 434-6665
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
02/03/2017
Last updated
02/06/2017
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