Provider Demographics
NPI:1811141401
Name:PROGRESSION IN MOTION, INC.
Entity type:Organization
Organization Name:PROGRESSION IN MOTION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BREE
Authorized Official - Middle Name:ANNA
Authorized Official - Last Name:PISACANE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:518-798-0625
Mailing Address - Street 1:246 BROWNVILLE RD
Mailing Address - Street 2:
Mailing Address - City:GANSEVOORT
Mailing Address - State:NY
Mailing Address - Zip Code:12831-2150
Mailing Address - Country:US
Mailing Address - Phone:518-798-0625
Mailing Address - Fax:518-798-0625
Practice Address - Street 1:246 BROWNVILLE RD
Practice Address - Street 2:
Practice Address - City:GANSEVOORT
Practice Address - State:NY
Practice Address - Zip Code:12831-2150
Practice Address - Country:US
Practice Address - Phone:518-798-0625
Practice Address - Fax:518-798-0625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-09
Last Update Date:2008-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency