Organization
LONG ISLAND INFANT DEVELOPMENTAL PROGRAM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LENORE K STAMM SLPSDA (EXECUTIVE DIRECTOR)
(516) 546-2333
Entity
Organization
Contact information
Practice address
2174 HEWLETT AVE, SUITE 105, MERRICK, NY 11566-3606
(516) 546-2333
(516) 546-0038
Mailing address
2174 HEWLETT AVE, SUITE 105, MERRICK, NY 11566-3606
(516) 546-2333
(516) 546-0038
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
01/29/2009
Last updated
01/29/2009
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