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1033954227
VIVID IMAGINATION STATION LLC
STATEN ISLAND, NY
NPI
1033954227
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Entity Type
Organization
Authorized Contact
IRENA BILOUS
Special Education
718-730-4442
Organization Subpart ?
No
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2024-06-28
Last Update Date
2024-07-01
Business Address
VIVID IMAGINATION STATION LLC
216 JUSTIN AVE
STATEN ISLAND, NY 10306-3744
Phone number: 718-730-4442
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Mailing Address
VIVID IMAGINATION STATION LLC
216 JUSTIN AVE
STATEN ISLAND, NY 10306-3744
Phone number: 718-730-4442
Copy
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