Organization
HEARTSHARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA ESCALANTE-RODRIGUEZ LMSW (SCHOOL SOCIAL WORKER)
(718) 441-5333
Entity
Organization
Contact information
Practice address
11515 101ST AVE, SOUTH RICHMOND HILL, NY 11419-1247
(718) 441-5333
Mailing address
11515 101ST AVE, SOUTH RICHMOND HILL, NY 11419-1247
(718) 441-5333
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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