LB411

Early Intervention Provider Agency

Active Organization
NPI: 1376807222

Practice Address

370 SAND LN
Staten Island, NY 10305

Phone: (347) 579-8474

Specialties

Specialty Code Primary License
Early Intervention Provider Agency 252Y00000X Yes 052747980 (NY)

Frequently Asked Questions

NPI 1376807222 is the National Provider Identifier for LB411, a Early Intervention Provider Agency provider located in Staten Island, NY. This NPI was enumerated on June 26, 2012.

Quick Facts

NPI
1376807222
Type
Organization
Enumerated
Jun 26, 2012
Last Updated
Jun 26, 2012

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