Provider Demographics
NPI:1720652829
Name:PROMPT INTERVENTIONAL SERVICES, INC.
Entity Type:Organization
Organization Name:PROMPT INTERVENTIONAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION SPECIALIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAMISH
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:917-402-7149
Mailing Address - Street 1:155 OCEANA DR E APT 3G
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-6684
Mailing Address - Country:US
Mailing Address - Phone:917-402-7149
Mailing Address - Fax:718-878-4537
Practice Address - Street 1:155 OCEANA DR E APT 3G
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-6684
Practice Address - Country:US
Practice Address - Phone:917-402-7149
Practice Address - Fax:718-878-4537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-14
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency