Cmr-heavenly Angels Inc | |
2021 Little Britain Rd Rock Tavern NY 12575-5343 | |
(917) 575-0598 | |
Not Available |
Full Name | Cmr-heavenly Angels Inc |
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Speciality | Behavior Analyst |
Location | 2021 Little Britain Rd, Rock Tavern, New York |
Authorized Official Name and Position | Cynthia Rivera (SPECIAL EDUCATION TEACHER) |
Authorized Official Contact | 9175750598 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cmr-heavenly Angels Inc 2021 Little Britain Rd Rock Tavern NY 12575-5343 Ph: () - | Cmr-heavenly Angels Inc 2021 Little Britain Rd Rock Tavern NY 12575-5343 Ph: (917) 575-0598 |
NPI Number | 1548619083 |
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Provider Enumeration Date | 06/06/2016 |
Last Update Date | 06/06/2016 |
Identifier | Type | State | Issuer |
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1548619083 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103K00000X | Behavior Analyst | (* (Not Available)) | Primary |