Organization
SKY SQUARED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA KUTSOVSKY (PRESIDENT)
(917) 676-9671
Entity
Organization
Contact information
Practice address
5 SUTTON LN, HEWLETT, NY 11557-1010
(917) 676-9671
Mailing address
5 SUTTON LN, HEWLETT, NY 11557-1010
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1265836
NY
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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