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Search › New York › Early Intervention Provider Agency

Molly Wagman

NPI 1275980617 · on the registry since 2016 · sole proprietor

Practice

Address
116 Smith St
Apt 4f
Brooklyn, NY 11201
Phone
(917) 846-0849
Organisation at this address
Functional Coaching Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Early Intervention Provider Agency
252Y00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-05-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York