Organization
CHALLENGE EARLY INTERVENTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAIZY PEARLSTEIN MSED (ABA COORDINATOR)
(718) 972-0880
Entity
Organization
Contact information
Practice address
1911 RICHMOND AVE, STATEN ISLAND, NY 10314-3913
(718) 972-0880
(718) 370-1597
Mailing address
1911 RICHMAOND AVE, STATEN ISLAND, NY 10310
(718) 972-0880
(718) 370-1597
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
102704123
NY
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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