Organization
ELITE THERAGROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA LIPKINA MS ED (PRESIDENT/THERAPIST)
(718) 664-8559
Entity
Organization
Contact information
Practice address
1641 OCEAN AVE APT B3, BROOKLYN, NY 11230-5009
(718) 664-8559
Mailing address
1641 OCEAN AVE APT B3, BROOKLYN, NY 11230-5009
(718) 664-8559
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
2224073
NY
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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