Constractor

NPI 1184025058 - Exclusive Provider Organization - 302F00000X

NPI Details
NPI 1184025058
Enumeration Date 09/10/2014
Last Updated 09/10/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name GUERLINE D GUERLINE
Position SPECIAL EDUCATION TEACHER
Phone (347) 962-2006
Fax
Practice Location
3 GEORGIA ST
VALLEY STREAM NY, 11580-2224, US
Phone (347) 962-2006
Fax
Business Location
PO BOX 82
VALLEY STREAM NY, 11582-0082, US
Phone (347) 962-2006
Fax
Toxanomy
Taxonomy Code 302F00000X
License State New York
License Number 824950
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According to our database, Constractor NPI is 1184025058, taxonomy code is 302F00000X and license number is 824950, license state is located at New York. Constractor physically located at 3 Georgia St, Valley Stream NY, 11580-2224. NPI Number 1033115704 has the healthcare provider type.

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1184025058 NPI number is provided on an as is basis without warranty of any kind. 1184025058 is maintained by the National Plan & Provider Enumeration System. The contents of Constractor are for informational purposes only.