Organization
QSAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANILA NOTI MS.ED (TEACHER)
(718) 728-8476
Entity
Organization
Contact information
Practice address
253 W 35TH ST FL 16, NEW YORK, NY 10001-1907
(718) 728-8496
Mailing address
253 W 35TH ST FL 16, NEW YORK, NY 10001-1907
(718) 728-8496
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
836523
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174400000X
SERVICE PROVIDER
NY
Enumeration date
06/28/2012
Last updated
06/28/2012
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