Organization
CANARSIE EIP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIOT KIRSCHENBAUM PSYD (EXECUTIVE DIRECTOR)
(718) 241-9211
Entity
Organization
Contact information
Practice address
1651 RALPH AVE, BROOKLYN, NY 11236-3317
(718) 241-9211
Mailing address
1651 RALPH AVE, BROOKLYN, NY 11236-3317
(718) 241-9211
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
38100
NY
Other
Enumeration date
11/18/2008
Last updated
11/18/2008
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