Organization
CRISTINA BUNAC-CUEVAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE COHEN (PROGRAM DIRECTOR)
(212) 453-4510
Entity
Organization
Contact information
Practice address
6770 YELLOWSTONE BLVD, #6D, FOREST HILLS, NY 11375-2858
(718) 896-4282
Mailing address
184 ELDRIDGE ST, NEW YORK, NY 10002-2924
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
019544
NY
Other
Enumeration date
01/18/2011
Last updated
07/05/2011
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