Provider Demographics
NPI:1588231864
Name:NEXT LEVEL CHILD DEVELOPMENT INC.
Entity Type:Organization
Organization Name:NEXT LEVEL CHILD DEVELOPMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TY
Authorized Official - Middle Name:T
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-249-0160
Mailing Address - Street 1:210 W 150TH ST APT 4E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10039-2538
Mailing Address - Country:US
Mailing Address - Phone:347-249-0160
Mailing Address - Fax:
Practice Address - Street 1:1330 AVENUE OF THE AMERICAS STE 23A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-5483
Practice Address - Country:US
Practice Address - Phone:347-249-0160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-07
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency