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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHANA LICHTMAN MSED (SEITTEACHER)
(718) 871-6241
Entity
Organization

Contact information

Practice address
4910 17TH AVE, 2F, BROOKLYN, NY 11204-1157
(718) 871-6241
Mailing address
4910 17TH AVE, 2F, BROOKLYN, NY 11204-1157
(718) 871-6241

Taxonomy

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

Other

Enumeration date
08/20/2014
Last updated
08/20/2014
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