Organization
I THERAPIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRIS GUTIERREZ MS. SPECIAL ED (TEACHER)
(917) 721-8941
Entity
Organization
Contact information
Practice address
110 BENNETT AVE APT 1D, NEW YORK, NY 10033-2310
(917) 721-8941
Mailing address
110 BENNETT AVE APT 1D, NEW YORK, NY 10033-2310
(917) 721-8941
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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