Individual
MRS. CHAVA MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS. ED
Contact information
Practice address
1533 E 33RD ST, BROOKLYN, NY 11234-3434
(718) 758-0575
Mailing address
1533 E 33RD ST, BROOKLYN, NY 11234-3434
(718) 758-0575
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
510207041
NY
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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