# BEANTOWN EARLY INTERVENTION SERVICES OF NY

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

## Provider details

- **NPI number:** 1265982722
- **Authorized official:** MARCOS J RIVERA MSW (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (646) 642-6695

## Contact information

- **Practice address:** 608 VAN NEST AVE, SUITE 1, BRONX, NY 10460-2709
- **Practice address phone:** (718) 824-3893
- **Practice address fax:** (718) 824-3893
- **Mailing address:** 608 VAN NEST AVE, SUITE 1, BRONX, NY 10460-2709
- **Mailing address phone:** (718) 824-3893
- **Mailing address fax:** (718) 824-3893

## Taxonomy

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

## Other

- **Enumeration date:** 10/09/2016
- **Last updated:** 03/02/2017