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Organization

MARION K. SALOMON

Active
Other names
up wee grow
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICK MERCARDANTE (COMPLIANCE MANAGER)
(516) 731-5588
Entity
Organization

Contact information

Practice address
125 E BETHPAGE RD, SUITE 5, PLAINVIEW, NY 11803-4228
(516) 731-5588
Mailing address
125 E BETHPAGE RD, PLAINVIEW, NY 11803-4228
(516) 731-5588

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
XXXXXX998
NY
252Y00000X
Early Intervention Provider Agency

Other

Enumeration date
06/17/2012
Last updated
06/17/2012
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