Provider Demographics
NPI:1558130062
Name:LIV-WEL INTERVENTION. INC
Entity Type:Organization
Organization Name:LIV-WEL INTERVENTION. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GALPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-888-3127
Mailing Address - Street 1:1311 BRIGHTWATER AVE APT 12I
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-5931
Mailing Address - Country:US
Mailing Address - Phone:929-888-3127
Mailing Address - Fax:
Practice Address - Street 1:1311 BRIGHTWATER AVE APT 12I
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-5931
Practice Address - Country:US
Practice Address - Phone:929-888-3127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-26
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency