Organization
CAMPBELL MANAGEMENT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA INGA CAMPBELL CCC-SLP (PRESIDENT)
(347) 489-3771
Entity
Organization
Contact information
Practice address
1411 81ST ST, BROOKLYN, NY 11228-3105
(347) 489-3771
Mailing address
1411 81ST ST, BROOKLYN, NY 11228-3105
(347) 489-3771
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
016403-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04070426
—
NY
Enumeration date
10/21/2015
Last updated
10/21/2015
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