Provider Demographics
NPI:1740032937
Name:ABC CHILDRENS THERAPY SERVICES CORP
Entity type:Organization
Organization Name:ABC CHILDRENS THERAPY SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PRO
Authorized Official - Prefix:
Authorized Official - First Name:BIANCA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MSPED
Authorized Official - Phone:718-825-7926
Mailing Address - Street 1:25 CHATHAM RD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-2536
Mailing Address - Country:US
Mailing Address - Phone:718-825-7926
Mailing Address - Fax:
Practice Address - Street 1:25 CHATHAM RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-2536
Practice Address - Country:US
Practice Address - Phone:718-825-7926
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency