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NPI Code Detail

MEDICARE: NEW YORK LEAGUE FOR EARLY LEARNING - THE CLEARVIEW SCHOOL

MEDICARE: NEW YORK LEAGUE FOR EARLY LEARNING - THE CLEARVIEW SCHOOL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1083106157
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW YORK LEAGUE FOR EARLY LEARNING - THE CLEARVIEW SCHOOL
Provider Business Mailing Address
First Line : 2425 CANTERBURY LN
Second Line :
City : NORTH BRUNSWICK
State : NJ
Zip : 08902-8201
Country : US
Telephone Number : 862-579-7877
Fax Number :
Provider Business Practice Location Address
First Line : 14628 JASMINE AVE
Second Line :
City : FLUSHING
State : NY
Zip : 11355-2248
Country : US
Telephone Number : 718-352-0104
Fax Number :
Authorized Official
Title or Position : INTERN
Name : PRISCILLA CHIU
Credential :
Telephone Number : 862-579-7877
Provider Enumeration Date : 06/04/2018
Last Update Date : 06/04/2018

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Directions to “NEW YORK LEAGUE FOR EARLY LEARNING - THE CLEARVIEW SCHOOL ” Practice Location

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