Organization
JILL ROTLEVI INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL ROTLEVI MS. SP.ED. (PRESIDENT)
(718) 309-2972
Entity
Organization
Contact information
Practice address
526 CHERRY LANE, NY, NY 11040
(516) 555-1212
Mailing address
111 BROADWAY, NY, NY 11111-3509
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
1149664
NY
Other
Enumeration date
06/05/2013
Last updated
08/01/2013
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