Individual
GLENNY GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7000 AUSTIN ST, SUITE 200, FOREST HILLS, NY 11375-1022
(718) 762-7633
Mailing address
2133 WALLACE AVE, 416, BRONX, NY 10462-2473
(347) 622-6608
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
341356
NY
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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