Organization
OWL EARLY INTERVENTION PROGRAM, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA LEVY M.S. CCC-SLP, TSSLD (CEO)
(917) 986-5560
Entity
Organization
Contact information
Practice address
535 FLUSHING AVE, BROOKLYN, NY 11205-1120
(929) 800-2340
Mailing address
1689 GLENMORE AVE, EAST MEADOW, NY 11554-2828
(917) 968-5560
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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