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Organization

BAY RIDGE CREATIONS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIMITRY ANOSHIN (PRESIDENT)
(347) 445-0900
Entity
Organization

Contact information

Practice address
260 65TH ST APT 22P, BROOKLYN, NY 11220-6501
(347) 445-0900
(718) 833-9778
Mailing address
260 65TH ST APT 22P, BROOKLYN, NY 11220-6501
(347) 445-0900
(718) 833-9778

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
08/12/2012
Last updated
08/12/2012
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