Organization
PRESBYTERIAN EAR INSTITUTE
Active
Organization
PRESBYTERIAN EAR INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEEMA KATIYAR LAGREE AUD (EXECUTIVE DIRECTOR)
(505) 224-7020
Entity
Organization
Contact information
Practice address
415 CEDAR ST SE, ALBUQUERQUE, NM 87106-3927
(505) 224-7020
(505) 224-7023
Mailing address
415 CEDAR ST SE, ALBUQUERQUE, NM 87106-3927
(505) 224-7020
(505) 224-7023
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33983216
—
NM
05
—
50757
—
NM
Enumeration date
09/14/2016
Last updated
09/14/2016
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