Illiassa Inc
Illiassa Inc is an Early Intervention Provider Agency in Bronx, New York. Licensed in New York. Registered with an NPI since 2016.
- Licensed in
- NY
- In the registry since
- 2016
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2139 Washington AveBronx, NY 10457-2553
Phone: (646) 270-5436
Fax: (718) 901-3739
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X · Licence 751806 (NY) |
|---|
Record details
| NPI number | 1447610290 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tamba Singhateh — President · (646) 270-5436 |
| NPI enumerated | March 7, 2016 |
| Last updated in NPPES | March 7, 2016 |
| Mailing address | 2139 Washington Ave, Bronx, NY 10457-2553 |
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