Provider Demographics
NPI:1245476266
Name:TODDLER INFANT PROGRAM FOR SPECIAL EDUCATION, INC
Entity type:Organization
Organization Name:TODDLER INFANT PROGRAM FOR SPECIAL EDUCATION, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:MS
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARGOLIS
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:718-605-2800
Mailing Address - Street 1:401 BLOOMINGDALE RD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10309-2070
Mailing Address - Country:US
Mailing Address - Phone:718-605-2800
Mailing Address - Fax:
Practice Address - Street 1:329 NORWAY AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305-3524
Practice Address - Country:US
Practice Address - Phone:718-987-9400
Practice Address - Fax:718-984-4766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-22
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency