Organization
GROW AND GLOW INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGETTE E PARKS MSED (SERVICE PROVIDER)
(917) 346-2459
Entity
Organization
Contact information
Practice address
218 SURF DR, BRONX, NY 10473-2472
(917) 346-2459
Mailing address
218 SURF DR, BRONX, NY 10473-2472
(917) 346-2459
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
47618
NY
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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