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Organization

DEPARTMENT OF EDUCATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS DAWN ATHENA ANDERSON M.S.ED. (SPECIAL EDUACTION TEACHER)
(212) 690-5960
Entity
Organization

Contact information

Practice address
2230 5TH AVE, NEW YORK, NY 10037-2102
(212) 690-5960
(212) 690-5959
Mailing address
2230 5TH AVE, NEW YORK, NY 10037-2102
(212) 690-5960
(212) 690-5959

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
321844031
NY

Other

Enumeration date
10/21/2014
Last updated
10/21/2014
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