Provider Demographics
NPI:1669793048
Name:EARLY MILESTONES CHILDREN'S SERVICES
Entity type:Organization
Organization Name:EARLY MILESTONES CHILDREN'S SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BETH
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BRUSCHINI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:845-849-2026
Mailing Address - Street 1:45 CLOVER HILL DR
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-3201
Mailing Address - Country:US
Mailing Address - Phone:845-849-2026
Mailing Address - Fax:
Practice Address - Street 1:45 CLOVER HILL DR
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-3201
Practice Address - Country:US
Practice Address - Phone:845-849-2026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-19
Last Update Date:2010-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY07582252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency