Organization
FULL CIRCLE EIP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YULIYA SAGIDULLINA MSSPEED (PROGRAM DIRECTOR)
(929) 434-4334
Entity
Organization
Contact information
Practice address
2675 OCEAN AVE APT 6A, BROOKLYN, NY 11229-4615
(929) 434-4334
Mailing address
2675 OCEAN AVE APT 6A, BROOKLYN, NY 11229-4615
(929) 434-4334
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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