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NPI #1033541776 in West Babylon, New York

Provider Information

NPI Number
1033541776
Entity Type
Organization
Organization Name
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Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Aug 5, 2013
Last Updated
Aug 5, 2013

Practice Location

Address
457 18TH ST
ZIP Code
11704-2201
Phone
(631) 236-7644

Authorized Official

Name
MRS. KELLY BIEBER
Title
TEACHER, SPECIAL ED.
Phone
(631) 236-7644

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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Provider Name
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