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NPI Code Detail

MEDICARE: MARIE PENSE CENTER LLC

MEDICARE: MARIE PENSE CENTER LLC
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
1251B00000XCase Management Agency
2252Y00000XEarly Intervention Provider Agency
3251300000XLocal Education Agency (LEA)300000010000NY

General Provider Information

NPI Number : 1669776217
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARIE PENSE CENTER LLC
Provider Business Mailing Address
First Line : 37 W 20TH ST STE 909
Second Line :
City : NEW YORK
State : NY
Zip : 10011-3715
Country : US
Telephone Number : 212-362-7010
Fax Number :
Provider Business Practice Location Address
First Line : 37 W 20TH ST STE 909
Second Line :
City : NEW YORK
State : NY
Zip : 10011-3715
Country : US
Telephone Number : 212-362-7010
Fax Number : 212-362-7013
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MRS. NADIA GIANNOPOULOS
Credential : MSED,SBL,SDL
Telephone Number : 212-362-7010
Provider Enumeration Date : 12/22/2010
Last Update Date : 08/22/2019

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Directions to “MARIE PENSE CENTER LLC ” Practice Location

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