Individual
OPAL DAWN LINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., ED.
Contact information
Practice address
248 W 123RD ST, NEW YORK, NY 10027-5400
(646) 678-1723
Mailing address
248 W 123RD ST, NEW YORK, NY 10027-5400
(646) 678-1723
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1160960
NY
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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