Organization
BLUEBERRY EARLY INTERVENTION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HERMITE MARY LOUIS (DIRECTOR)
(718) 465-4852
Entity
Organization
Contact information
Practice address
8038 211TH ST, QUEENS VILLAGE, NY 11427-1013
(718) 465-4852
Mailing address
2479 PEACHTREE RD NE, ATLANTA, GA 30305-4100
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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