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Organization

ST. MARY'S HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. VIOLA EUNICE JOHNSON TEACHER (SPECIAL EDUCATION)
(718) 968-2269
Entity
Organization

Contact information

Practice address
9226 AVENUE J, BROOKLYN, BROOKLYN, NY 11236-3935
(718) 968-2269
(718) 968-2269
Mailing address
9226 AVENUE J, BROOKLYN, NEW YORK, NY 11236
(718) 968-2269
(718) 968-2269

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
379624681
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
931178500
GHI
NY
Enumeration date
06/01/2009
Last updated
06/01/2009
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