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Organization

LILY EARLY INTERVENTION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YISHENG CHU (SERVICE PROVIDER)
(646) 552-2339
Entity
Organization

Contact information

Practice address
8812 ELMHURST AVE APT 6L, ELMHURST, NY 11373-1518
(646) 552-2339
Mailing address
8812 ELMHURST AVE APT 6L, ELMHURST, NY 11373-1518
(646) 552-2339

Taxonomy

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

Other

Enumeration date
05/16/2024
Last updated
05/24/2024
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