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Organization

EARLY SPECTRUM SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH SCOTT (MANAGING MEMBER)
(212) 275-8223
Entity
Organization

Contact information

Practice address
510 2ND AVE, 3-C, NEW YORK, NY 10016-8639
(917) 573-4489
(212) 275-8223
Mailing address
510 2ND AVE, 3-C, NEW YORK, NY 10016-8639
(917) 573-4489
(212) 275-8223

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
721496
NY

Other

Enumeration date
06/14/2016
Last updated
06/14/2016
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