Organization
GEEOLA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHANTAY MARIE SEWELL MSED (OWNER)
(917) 756-4094
Entity
Organization
Contact information
Practice address
9960 63RD RD APT 7X, REGO PARK, NY 11374-1922
(917) 756-4094
Mailing address
9960 63RD RD APT 7X, REGO PARK, NY 11374-1922
(917) 756-4094
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/02/2023
Last updated
01/02/2024
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