Provider Demographics
NPI:1265821524
Name:CENTER FOR INFANT AND TODDLER DEVELOPMENT, INC
Entity Type:Organization
Organization Name:CENTER FOR INFANT AND TODDLER DEVELOPMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARGIRO
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPELERIS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, SAS
Authorized Official - Phone:516-655-0462
Mailing Address - Street 1:860 E BROADWAY
Mailing Address - Street 2:APT #20
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-4756
Mailing Address - Country:US
Mailing Address - Phone:516-655-0462
Mailing Address - Fax:
Practice Address - Street 1:860 E BROADWAY
Practice Address - Street 2:APT #20
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-4756
Practice Address - Country:US
Practice Address - Phone:516-655-0462
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-09
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency