Jellybean Ei Inc.
NPI #1871085696 in Ozone Park, New York
Provider Information
- NPI Number
- 1871085696
- Entity Type
- Organization
- Organization Name
- Jellybean Ei Inc.
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Jun 6, 2018
- Last Updated
- Nov 1, 2024
Practice Location
- Address
- 13524 96TH ST
- City
- Ozone Park
- State
- New York
- ZIP Code
- 11417
- Phone
- (347) 784-7984
Authorized Official
- Name
- HARRY AZCONA
- Title
- PRESIDENT
- Phone
- (718) 219-8484
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
| Early Intervention Provider Agency |
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