Organization
OUR FAMILIES EARLY INTERVENTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA ROSA BONIFACIO MS (PRESIDENT)
(917) 776-6305
Entity
Organization
Contact information
Practice address
358 WADSWORTH AVENUE SUITE #41, NEW YORK, NY 10040-3155
(917) 776-6305
Mailing address
358 WADSWORTH AVE APT 41, NEW YORK, NY 10040-3155
(917) 776-6305
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
061068011
NY
252Y00000X
Early Intervention Provider Agency
07074341
NY
252Y00000X
Early Intervention Provider Agency
Primary
754355971
NY
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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