| Pgl And 1 Corp | |
|
866 E New York Ave Brooklyn NY 11203-1311 | |
| (248) 739-0964 | |
| (718) 481-2004 |
| Full Name | Pgl And 1 Corp |
|---|---|
| Speciality | Behavior Analyst |
| Location | 866 E New York Ave, Brooklyn, New York |
| Authorized Official Name and Position | Dovid Dinerman (OWNER) |
| Authorized Official Contact | 9179711052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pgl And 1 Corp 866 E New York Ave Brooklyn NY 11203-1311 Ph: (248) 739-0964 | Pgl And 1 Corp 866 E New York Ave Brooklyn NY 11203-1311 Ph: (248) 739-0964 |
| NPI Number | 1881275741 |
|---|---|
| Provider Enumeration Date | 04/21/2021 |
| Last Update Date | 04/21/2021 |
| Certification Date | 04/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881275741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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