# CHIP,INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154683902
- **Authorized official:** MRS. NICOLE SORRENTINO MS (SPECIAL INSTRUCTION TEACHER)
- **Authorized official phone:** (718) 938-0318

## Contact information

- **Practice address:** 4024 AMBOY RD, STATEN ISLAND, NY 10308-2409
- **Practice address phone:** (718) 984-4154
- **Mailing address:** 176 RETFORD AVE, STATEN ISLAND, NY 10312-5515
- **Mailing address phone:** (718) 938-0318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NY | Yes |

## Other

- **Enumeration date:** 06/07/2012
- **Last updated:** 06/07/2012