Provider Demographics
NPI:1700325206
Name:OME EARLY INTERVENTION SERVICES INC
Entity Type:Organization
Organization Name:OME EARLY INTERVENTION SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL INSTRUCTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:OVIGWE
Authorized Official - Last Name:OMUSI
Authorized Official - Suffix:
Authorized Official - Credentials:SPED
Authorized Official - Phone:347-415-7681
Mailing Address - Street 1:4 KNOLL VW
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-5944
Mailing Address - Country:US
Mailing Address - Phone:347-415-7681
Mailing Address - Fax:
Practice Address - Street 1:4 KNOLL VW
Practice Address - Street 2:
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-5944
Practice Address - Country:US
Practice Address - Phone:347-415-7681
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-16
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY607727252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency