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DORA SOURELOSMAPTPC

Early Intervention Provider Agency

NPI: 1841692696Organization

Specialties, Licenses & Credentials

Early Intervention Provider AgencyPrimary

Early Intervention Provider Agency

Code: 252Y00000X

013371(NY)

Contact & Hours

Address
1205 116TH ST
COLLEGE POINT, NY 11356

Quick Facts

NPI
1841692696
Entity Type
Organization
Medicare
Not confirmed
Specialties
1
Locations
1

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