Individual
MICHAEL BYRDSONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
185 CLINTON AVE APT 2F, BROOKLYN, NY 11205-3508
(718) 909-0174
Mailing address
185 CLINTON AVE APT 2F, BROOKLYN, NY 11205-3508
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/30/2017
Last updated
08/30/2017
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