Vicaf. Incorporated

NPI 1801187067 - Early Intervention Provider Agency - 252Y00000X

NPI Details
NPI 1801187067
Enumeration Date 04/22/2011
Last Updated 04/22/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name GBENGA JOHN GBENGA
Position PHYSICAL THERAPIST
Phone (718) 414-4588
Fax
Practice Location
915 LYNN DR
SUITE 101
VALLEY STREAM NY, 11580, US
Phone (718) 414-4588
Fax
Business Location
915 LYNN DR STE 101
VALLEY STREAM NY, 11580-1221, US
Phone (718) 414-4588
Fax
Toxanomy
Taxonomy Code 252Y00000X
License State New York
License Number 013411-1
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According to our database, Vicaf. Incorporated NPI is 1801187067, taxonomy code is 252Y00000X and license number is 013411-1, license state is located at New York. Vicaf. Incorporated physically located at 915 Lynn Dr, Valley Stream NY, 11580. NPI Number 1033115704 has the healthcare provider type.

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1801187067 NPI number is provided on an as is basis without warranty of any kind. 1801187067 is maintained by the National Plan & Provider Enumeration System. The contents of Vicaf. Incorporated are for informational purposes only.