Organization
JEA EARLY INTERVENTION SERVICES
Active
Other names
JEA Early Intervention Services
Organization subpart
No
Provider details
NPI number
Authorized official
JOSIANE ANGLADE MD (SPECIAL ED TEACHER)
(917) 288-5753
Entity
Organization
Contact information
Practice address
93-46 215 STREET, QUEENS VILLAGE, NY 11428
(917) 288-5753
Mailing address
9346 215TH ST, QUEENS VILLAGE, NY 11428-1708
(917) 288-5753
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
TF-3534719
NY
Other
Enumeration date
07/19/2017
Last updated
07/21/2022
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