Provider Demographics
NPI:1407090038
Name:OCCUPATIONAL SERVICES FOR CHILDREN AND FAMILIES
Entity Type:Organization
Organization Name:OCCUPATIONAL SERVICES FOR CHILDREN AND FAMILIES
Other - Org Name:SPOTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/ OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:PRUDENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:HEISLER
Authorized Official - Suffix:
Authorized Official - Credentials:ORT/L
Authorized Official - Phone:212-473-0011
Mailing Address - Street 1:611 BROADWAY
Mailing Address - Street 2:#908
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-2608
Mailing Address - Country:US
Mailing Address - Phone:212-473-0011
Mailing Address - Fax:212-473-0009
Practice Address - Street 1:611 BROADWAY
Practice Address - Street 2:#908
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-2608
Practice Address - Country:US
Practice Address - Phone:212-473-0011
Practice Address - Fax:212-473-0009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-27
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency