Provider Demographics
NPI:1124576749
Name:S AND P INTERVENTION
Entity Type:Organization
Organization Name:S AND P INTERVENTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:C
Authorized Official - Last Name:COSTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-774-6350
Mailing Address - Street 1:50 YONKERS TER
Mailing Address - Street 2:APT. # 3A
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-3345
Mailing Address - Country:US
Mailing Address - Phone:914-774-6350
Mailing Address - Fax:
Practice Address - Street 1:50 YONKERS TER
Practice Address - Street 2:APT. # 3A
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-3345
Practice Address - Country:US
Practice Address - Phone:914-774-6350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-12
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY126484252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1982043303OtherNPI