Provider Demographics
NPI:1770913154
Name:BABY STEPS EARLY INTERVENTION SERVICES, INC
Entity type:Organization
Organization Name:BABY STEPS EARLY INTERVENTION SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LYRIS
Authorized Official - Middle Name:B
Authorized Official - Last Name:CANTON
Authorized Official - Suffix:
Authorized Official - Credentials:BS, MA
Authorized Official - Phone:917-808-7041
Mailing Address - Street 1:493 MANHATTAN AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-5237
Mailing Address - Country:US
Mailing Address - Phone:917-808-7041
Mailing Address - Fax:
Practice Address - Street 1:493 MANHATTAN AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-5237
Practice Address - Country:US
Practice Address - Phone:917-808-7041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-20
Last Update Date:2013-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004041-1252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency