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Individual

MS. GRETA J COLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CERTIFIED TEACHER

Contact information

Practice address
94 MACDOUGAL ST, BROOKLYN, NY 11233-2608
(347) 406-2345
(718) 771-5308
Mailing address
94 MACDOUGAL ST, BROOKLYN, NY 11233-2608
(347) 406-2345
(718) 771-5308

Taxonomy

Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
375079091
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
375079091
CONTROL NUMBER
NY
01
698498121
CONTROL NUMBER SPECIAL EDUCATION
NY
05
UT29823B
NY
Enumeration date
09/24/2013
Last updated
09/24/2013
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