Provider Demographics
NPI:1962824185
Name:MOVEMENT POTENTIAL NY INC
Entity Type:Organization
Organization Name:MOVEMENT POTENTIAL NY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA, PT
Authorized Official - Phone:917-826-7715
Mailing Address - Street 1:16328 19TH AVE
Mailing Address - Street 2:
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-3339
Mailing Address - Country:US
Mailing Address - Phone:917-826-7715
Mailing Address - Fax:718-352-9440
Practice Address - Street 1:16328 19TH AVE
Practice Address - Street 2:
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357-3339
Practice Address - Country:US
Practice Address - Phone:917-826-7715
Practice Address - Fax:718-352-9440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-07
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007955252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency