Individual
THIT LWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
1832 GEORGE ST APT 3A, RIDGEWOOD, NY 11385-5574
(347) 623-8298
Mailing address
1832 GEORGE ST APT 3A, RIDGEWOOD, NY 11385-5574
(347) 623-8298
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
807326131
NY
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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