Organization
FIRST CHOICE EARLY INTERVENTION LLC
Active
Other names
First Choice Early Intervention LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELIRON SHAMALOV MSED (BEHAVIORAL THERAPIST)
(347) 476-4330
Entity
Organization
Contact information
Practice address
7469 220TH ST, BAYSIDE, NY 11364-3015
(347) 476-4330
Mailing address
7469 220TH ST APT 1B, BAYSIDE, NY 11364-3015
(347) 476-4330
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
05/22/2019
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