Organization
NEW YORK CHILD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GWENNETH MEGAN CLARKE (SPECIAL EDUCATION TEACHER)
(718) 464-3139
Entity
Organization
Contact information
Practice address
10222 216TH ST, QUEENS VILLAGE, NY 11429-1125
(718) 464-3139
(718) 464-3139
Mailing address
10222 216TH ST, QUEENS VILLAGE, NY 11429-1125
(718) 464-3139
(718) 464-3139
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
07/16/2012
Last updated
07/21/2022
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