Organization
MARATHON INFANTS & TODDLERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTINA B MOQUETE (EI SERVICE COORDINATOR)
(347) 892-0878
Entity
Organization
Contact information
Practice address
22018 HORACE HARDING EXPY, BAYSIDE, NY 11364-2227
(718) 423-0056
Mailing address
322 KEAR ST APT 2A, YORKTOWN HEIGHTS, NY 10598-4461
(347) 892-0878
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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