Provider Demographics
NPI:1578871240
Name:MILESTONES INTEGRATED SERVICES O.T., P.T., R.N., S.L.P.
Entity Type:Organization
Organization Name:MILESTONES INTEGRATED SERVICES O.T., P.T., R.N., S.L.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PROGRAM DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNE MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PITRELLI
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:201-707-7634
Mailing Address - Street 1:37 WOODLAKE DR
Mailing Address - Street 2:
Mailing Address - City:THIELLS
Mailing Address - State:NY
Mailing Address - Zip Code:10984-1307
Mailing Address - Country:US
Mailing Address - Phone:201-707-7634
Mailing Address - Fax:
Practice Address - Street 1:37 WOODLAKE DR
Practice Address - Street 2:
Practice Address - City:THIELLS
Practice Address - State:NY
Practice Address - Zip Code:10984-1307
Practice Address - Country:US
Practice Address - Phone:201-707-7634
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-16
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency