Organization
EAS108 CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH COHN (EARLY INTERVENTION PROVIDER)
(718) 915-0018
Entity
Organization
Contact information
Practice address
200 CORBIN PL APT 4D, BROOKLYN, NY 11235-4930
(718) 915-0018
Mailing address
200 CORBIN PL APT 4D, BROOKLYN, NY 11235-4930
(718) 915-0018
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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