Provider Demographics
NPI:1922361724
Name:CHILDREN'S CENTER FOR EARLY INTERVENTION
Entity Type:Organization
Organization Name:CHILDREN'S CENTER FOR EARLY INTERVENTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:MS
Authorized Official - First Name:RIVEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:REINETZDUPERVISOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-284-3110
Mailing Address - Street 1:83 MARLBOROUGH RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-4301
Mailing Address - Country:US
Mailing Address - Phone:718-284-3110
Mailing Address - Fax:
Practice Address - Street 1:83 MARLBOROUGH RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-4301
Practice Address - Country:US
Practice Address - Phone:718-284-3110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-18
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency