Organization
ISAGO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISABEL Y GONZALEZ MS. ED (SPECIAL EDUCATOR TEACHER)
(646) 249-8636
Entity
Organization
Contact information
Practice address
2 ROOSEVELT AVE, SUITE 300, SYOSSET, NY 11791-3064
(516) 496-4460
(516) 921-4432
Mailing address
7 BALINT DRIVE, APT 630, YONKERS, NY 10710-3900
(646) 249-8636
(914) 337-8301
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
283479091
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18973
NYSDOH PROV ID
NY
Enumeration date
07/11/2012
Last updated
07/11/2012
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