Most Relevant Information
Provider Data
| NPI Number: | 1003276551 |
| Provider Name: | FABIOLAH VERTUS |
| Entity Type: | Individual |
| Taxonomy Code: | 252Y00000X |
| Specialty: | Early Intervention Provider Agency |
| License Number: | 850100141 |
Most Important Dates
| Enumeration Date: | 02/26/2016 |
| Last Updated: | 02/26/2016 |
Provider Practice Location
9229 KAUFMAN PL
BROOKLYN
NY
112365205
Practice Location Phone/Fax
| Phone: | 6468213960 |
| Fax: |
Provider Mailing Location
9229 KAUFMAN PL
BROOKLYN
NY
112365205
Provider Mailing Phone/Fax
| Phone: | 6468213960 |
| Fax: |