Provider Demographics
NPI:1508285156
Name:GIANT LEAPS
Entity Type:Organization
Organization Name:GIANT LEAPS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAGALY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEVS-HAMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:917-312-5553
Mailing Address - Street 1:3 PROSPECT TER
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-2447
Mailing Address - Country:US
Mailing Address - Phone:917-312-5553
Mailing Address - Fax:
Practice Address - Street 1:1686 GRAND CONCOURSE APT B
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-7685
Practice Address - Country:US
Practice Address - Phone:917-312-5553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-10
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency