Organization
EARLY INTERVENTION SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNDELL MARCIA DAVIS-THOMAS MSED (SPECIAL EDUCATION TEACHER)
(917) 583-4937
Entity
Organization
Contact information
Practice address
543 MAIN ST APT 414, NEW ROCHELLE, NY 10801-7265
(917) 583-4937
Mailing address
543 MAIN ST APT 414, NEW ROCHELLE, NY 10801-7265
(917) 583-4937
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
689745
NY
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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