Organization
SELF -ASSURED INDEED INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YEZELL P MOORE M.ED (SPECIAL EDUCATION TEACHER)
(347) 623-8341
Entity
Organization
Contact information
Practice address
869 VAN SICLEN AVE APT 1J, BROOKLYN, NY 11207-7800
(347) 623-8341
Mailing address
869 VAN SICLEN AVE APT 1J, BROOKLYN, NY 11207-7800
(347) 623-8341
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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