Organization
GROW WISE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETI BABAYEV (SPECIAL EDUCATION TEACHER)
(347) 886-8150
Entity
Organization
Contact information
Practice address
17 LONGVIEW AVE, VALLEY STREAM, NY 11581-2826
(347) 886-8150
Mailing address
17 LONGVIEW AVE, VALLEY STREAM, NY 11581-2826
(347) 886-8150
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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