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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELOR M NELZY (EI PROVIDER)
(347) 741-4474
Entity
Organization

Contact information

Practice address
40 LINCOLN RD APT 3E, BROOKLYN, NY 11225-3731
(347) 741-4474
Mailing address
40 LINCOLN RD APT 3E, BROOKLYN, NY 11225-3731
(347) 741-4474

Taxonomy

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

Other

Enumeration date
07/08/2020
Last updated
07/08/2020
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Product
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  • EDI platform