Organization
LITTLE BOWS & TIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA GUTTA (OWNER)
(646) 420-6900
Entity
Organization
Contact information
Practice address
4 OFFENBACH ST, RONKONKOMA, NY 11779-2555
(646) 420-6900
Mailing address
4 OFFENBACH ST, RONKONKOMA, NY 11779-2555
(646) 420-6900
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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