# PHOENIX EARLY INTERVENTION LLC

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

## Provider details

- **NPI number:** 1245199116
- **Authorized official:** MS. DERLY ALVAREZ (PROGRAM DIRECTOR)
- **Authorized official phone:** (347) 378-0945

## Contact information

- **Practice address:** 418 BROADWAY STE N, ALBANY, NY 12207-2922
- **Practice address phone:** (518) 241-6552
- **Mailing address:** 350 NORTHERN BLVD STE 324-1565, ALBANY, NY 12204-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/16/2026
- **Last updated:** 09/23/2026