Individual
VIOLA RUTH ISAAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14468 ROOSEVELT AVE, FLUSHING, NY 11354-6253
(347) 280-3591
Mailing address
4605 SNYDER AVE, BROOKLYN, NY 11203-4247
(646) 996-5047
(718) 287-0120
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
878456
NY
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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