Organization
PRIME DEVELOPMENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLIN HABIB MSED (PRESIDENT)
(917) 751-7171
Entity
Organization
Contact information
Practice address
2625 E 14TH ST, BROOKLYN, NY 11235-3979
(917) 751-7171
Mailing address
20701 34TH AVE, BAYSIDE, NY 11361-1335
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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