Provider Demographics
NPI:1376915090
Name:M B NEW BEGININGS
Entity Type:Organization
Organization Name:M B NEW BEGININGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:BERMUDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-600-3156
Mailing Address - Street 1:652 GRANDVIEW AVENUE
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD QUEENS
Mailing Address - State:NY
Mailing Address - Zip Code:11385
Mailing Address - Country:US
Mailing Address - Phone:917-600-3156
Mailing Address - Fax:
Practice Address - Street 1:652 GRANDVIEW AVENUE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD QUEENS
Practice Address - State:NY
Practice Address - Zip Code:11385
Practice Address - Country:US
Practice Address - Phone:917-600-3156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-21
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency