Lara J Special Services Corporation
Lara J Special Services Corporation is an Early Intervention Provider Agency in Staten Island, New York. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
273 Leverett AveStaten Island, NY 10308-1508
Phone: (347) 272-4898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X |
|---|
Record details
| NPI number | 1588194906 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Larisa Jdanova — President · (347) 272-4898 |
| NPI enumerated | June 18, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 273 Leverett Ave, Staten Island, NY 10308-1508 |
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