Early Interverntion

NPI 1063667111 - Early Intervention Provider Agency - 252Y00000X

NPI Details
NPI 1063667111
Enumeration Date 11/17/2008
Last Updated 11/17/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name FAITH FAITH
Position SPEECH-LANGUAGE PATHOLOGIST
Phone (516) 432-8377
Fax
Practice Location
475 W CHESTER ST
LONG BEACH NY, 11561-1805, US
Phone (516) 432-8377
Fax
Business Location
475 W CHESTER ST
LONG BEACH NY, 11561-1805, US
Phone (516) 432-8377
Fax
Toxanomy
Taxonomy Code 252Y00000X
License State New York
License Number 006924
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According to our database, Early Interverntion NPI is 1063667111, taxonomy code is 252Y00000X and license number is 006924, license state is located at New York. Early Interverntion physically located at 475 W Chester St, Long Beach NY, 11561-1805. NPI Number 1033115704 has the healthcare provider type.

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1063667111 NPI number is provided on an as is basis without warranty of any kind. 1063667111 is maintained by the National Plan & Provider Enumeration System. The contents of Early Interverntion are for informational purposes only.