| Alpha Ii Omega | |
|
259-28 147th Rd Rosedale NY 11422 | |
| (347) 400-1812 | |
| Not Available |
| Full Name | Alpha Ii Omega |
|---|---|
| Speciality | Behavior Technician |
| Location | 259-28 147th Rd, Rosedale, New York |
| Authorized Official Name and Position | Doreen E Brathwaite (MANAGER/DIRECTOR) |
| Authorized Official Contact | 3474001812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Ii Omega 259-28 147th Rd Rosedale NY 11422 Ph: (347) 400-1812 | Alpha Ii Omega 259-28 147th Rd Rosedale NY 11422 Ph: (347) 400-1812 |
| NPI Number | 1588361588 |
|---|---|
| Provider Enumeration Date | 02/09/2023 |
| Last Update Date | 04/11/2023 |
| Certification Date | 04/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588361588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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