Organization
SPROUTING TEE MOON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH S JEAN MSED (OWER)
(516) 668-3792
Entity
Organization
Contact information
Practice address
70 PACIFIC ST, NORTH BABYLON, NY 11703-4108
(516) 668-4792
Mailing address
70 PACIFIC ST, NORTH BABYLON, NY 11703-4108
(516) 668-4792
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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