| |
100 Stevens Ave, Mount Vernon, NY 10550-2600 | |
(917) 553-2906 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Early Intervention Provider Agency |
Location | 100 Stevens Ave, Mount Vernon, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316468242 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary |
252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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318 S 1st Ave, Mount Vernon, NY 10550-4204 Ph: (917) 553-2906 | 100 Stevens Ave, Mount Vernon, NY 10550-2600 Ph: (917) 553-2906 |