Provider Demographics
NPI:1558605048
Name:STEP BY STEP INFANT DEVELOPMENT CENTER
Entity Type:Organization
Organization Name:STEP BY STEP INFANT DEVELOPMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:
Authorized Official - First Name:SINAI
Authorized Official - Middle Name:
Authorized Official - Last Name:HALBERSTAM
Authorized Official - Suffix:
Authorized Official - Credentials:PROF
Authorized Official - Phone:718-633-5328
Mailing Address - Street 1:1049 38 STREET
Mailing Address - Street 2:HEALTH CARE GROUP PROVIDER
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219
Mailing Address - Country:US
Mailing Address - Phone:718-633-5328
Mailing Address - Fax:718-633-5331
Practice Address - Street 1:1049 38 STREET
Practice Address - Street 2:HEALTH CARE GROUP PROVIDER
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219
Practice Address - Country:US
Practice Address - Phone:718-633-5328
Practice Address - Fax:718-633-5331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-21
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No305S00000XManaged Care OrganizationsPoint of Service