Provider Demographics
NPI:1720470719
Name:B & K EARLY INTERVENTION
Entity Type:Organization
Organization Name:B & K EARLY INTERVENTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TEREZA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROMBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:718-757-8005
Mailing Address - Street 1:2015 SHORE PARKWAY
Mailing Address - Street 2:SUITE 15J
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214
Mailing Address - Country:US
Mailing Address - Phone:718-676-9127
Mailing Address - Fax:
Practice Address - Street 1:2015 SHORE PARKWAY
Practice Address - Street 2:SUITE 15J
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214
Practice Address - Country:US
Practice Address - Phone:718-676-9127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-27
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY594411121252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency