Provider Demographics
NPI:1881099166
Name:BABIN, FINA (SPECIAL EDUCATION)
Entity type:Individual
Prefix:MS
First Name:FINA
Middle Name:
Last Name:BABIN
Suffix:
Gender:F
Credentials:SPECIAL EDUCATION
Other - Prefix:MS
Other - First Name:FINA
Other - Middle Name:
Other - Last Name:LEVENZON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1529 DAHILL RD
Mailing Address - Street 2:APT B9
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-3558
Mailing Address - Country:US
Mailing Address - Phone:347-462-3303
Mailing Address - Fax:
Practice Address - Street 1:1529 DAHILL RD
Practice Address - Street 2:APT B9
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-3558
Practice Address - Country:US
Practice Address - Phone:347-462-3303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-28
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1300493252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency