Organization
ABAKADA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA CAMPO MSED (OWNER)
(917) 435-1789
Entity
Organization
Contact information
Practice address
5917 69TH PL FL 2, MASPETH, NY 11378-2926
(917) 435-1789
Mailing address
5917 69TH PL FL 2, MASPETH, NY 11378-2926
(917) 435-1789
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/26/2023
Last updated
04/12/2024
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