Organization
PATHWAYS WELLNESS EARLY INTERVENTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM EBERT OT (OT/OWNER)
(718) 234-5700
Entity
Organization
Contact information
Practice address
1640 63RD ST, BROOKLYN, NY 11204-2744
(718) 234-5700
(718) 234-5755
Mailing address
1640 63RD ST, BROOKLYN, NY 11204-2744
(718) 234-5700
(718) 234-5755
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
006813
NY
Other
Enumeration date
06/20/2017
Last updated
07/21/2022
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