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Organization

EARLY INTERVENRION

Active
Other names
None
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARLY L ISRAEL MS (TEACHER)
(516) 708-7536
Entity
Organization

Contact information

Practice address
161 WASHINGTON ST, FARMINGDALE, NY 11735-5844
(516) 708-7536
Mailing address
161 WASHINGTON ST, FARMINGDALE, NY 11735-5844
(516) 708-7536

Taxonomy

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

Other

Enumeration date
03/14/2016
Last updated
03/14/2016
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  • EDI platform