Organization
MILES OF SMILES INC
Active
Other names
Miles of Smiles Inc
Organization subpart
No
Provider details
NPI number
Authorized official
YULIYA PETROVA MSED (OWNER)
(718) 593-9909
Entity
Organization
Contact information
Practice address
10 MERCER PL, STATEN ISLAND, NY 10308-3431
(718) 593-9909
Mailing address
10 MERCER PL, STATEN ISLAND, NY 10308-3431
(718) 593-9909
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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