Provider Demographics
NPI:1831449578
Name:LEXINGTON DEVELOPMENT CENTER LLC
Entity type:Organization
Organization Name:LEXINGTON DEVELOPMENT CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAHULDEB
Authorized Official - Middle Name:
Authorized Official - Last Name:MUKERJI
Authorized Official - Suffix:
Authorized Official - Credentials:OTA
Authorized Official - Phone:917-403-8211
Mailing Address - Street 1:345 WEBSTER AVE
Mailing Address - Street 2:SUITE 6I
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-1450
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:345 WEBSTER AVE
Practice Address - Street 2:SUITE 6I
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-1450
Practice Address - Country:US
Practice Address - Phone:917-403-8211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-10
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency