Organization
LITTLE WONDER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABIN SHAHID (SERVICE CORDINATOR)
(718) 850-0400
Entity
Organization
Contact information
Practice address
8866 MYRTLE AVE, GLENDALE, NY 11385-7857
(178) 850-0400
(718) 805-1790
Mailing address
8866 MYRTLE AVE, GLENDALE, NY 11385-7857
(178) 850-0400
(718) 805-1790
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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