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NPI 1700323060 · Early Intervention Provider Agency · Mastic Beach, NY
Provider details
- NPI number
- 1700323060
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Danielle Conklin, Teacher(631) 875-8793
Specialties & taxonomies
Agencies
Practice location
69 Riverside Ave
Mastic Beach, NY 11951-1103
Phone: (631) 875-8793
Approximate (ZIP-level) locationGet directions
Mailing address
69 Riverside Ave
Mastic Beach, NY 11951-1103
Registry dates
- Enumerated
- 2017-01-25
- Last updated
- 2017-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.