Organization
CHICHI THERAPEUTIC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHINYELU LILY FAFOWORA MSED (PRESIDENT)
(646) 606-7288
Entity
Organization
Contact information
Practice address
11821 QUEENS BLVD STE 418, FOREST HILLS, NY 11375-7208
(646) 606-7288
Mailing address
11821 QUEENS BLVD STE 418, FOREST HILLS, NY 11375-7208
(646) 606-7288
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1114570
NY
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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