Provider Demographics
NPI:1922253632
Name:EARLY SUCCESS, INC.
Entity Type:Organization
Organization Name:EARLY SUCCESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LILLIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANABRIA-HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:516-352-6088
Mailing Address - Street 1:225 BEECH ST
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-3317
Mailing Address - Country:US
Mailing Address - Phone:516-352-6088
Mailing Address - Fax:516-616-5190
Practice Address - Street 1:225 BEECH ST
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-3317
Practice Address - Country:US
Practice Address - Phone:516-352-6088
Practice Address - Fax:516-616-5190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-21
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency