Organization
GROW AND THRIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SVETLANA RUBINOV MS.SPED (SPECIAL EDUCATION TEACHER)
(917) 916-7267
Entity
Organization
Contact information
Practice address
5028 UTOPIA PKWY, FRESH MEADOWS, NY 11365-1633
(917) 916-7267
Mailing address
5028 UTOPIA PKWY, FRESH MEADOWS, NY 11365-1633
(917) 916-7267
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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