Organization
M
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WHITE (PROVIDER)
(718) 382-1505
Entity
Organization
Contact information
Practice address
1944 E 12TH ST, BROOKLYN, NY 11229-2704
(917) 757-7527
Mailing address
2166 CONEY ISLAND AVE, BROOKLYN, NY 11223-3332
(771) 838-2150
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/24/2026
Last updated
07/30/2026
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