Miracle Chilren Inc.

NPI #1669734349 in Saint Albans, New York

Provider Information

NPI Number: 1669734349
Entity Type: Organization
Organization Name: Miracle Chilren Inc.
Primary Specialty: Contractor
Enumeration Date: Jun 8, 2012
Last Updated: Jun 8, 2012

Practice Location

Address: 18908 MANGIN AVE
City: Saint Albans
State: New York
ZIP Code: 11412-2320
Phone: (347) 858-6537

Authorized Official

Name: LORNA HOSANG, MS. ED.
Title: DIRECTOR
Phone: (347) 858-6537

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Exclusive Provider Organization	302F00000X
Contractor	171W00000X	Primary

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