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1336511336
EARLY INTERVENTION CORNERSTONE, INC.
CORONA, NY
NPI
1336511336
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Entity Type
Organization
Authorized Contact
LUIS G FONG
Owner
917-279-7644
Organization Subpart ?
No
Primary Taxonomy
305R00000X Preferred Provider Organization
Enumeration Date
2015-10-29
Last Update Date
2022-07-21
Business Address
EARLY INTERVENTION CORNERSTONE, INC.
98-34 ALSTYNE AVENUE FLOOR 2
CORONA, NY 11368
Phone number: 917-279-7644
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Mailing Address
EARLY INTERVENTION CORNERSTONE, INC.
98-34 ALSTYNE AVENUE FLOOR 2
CORONA, NY 11368
Phone number: 917-279-7644
Copy