# LISE PETRICONE INC. DBA SMALL STEPS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Small Steps
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639321730
- **Authorized official:** MS. LISE PETRICONE (PRESIDENT/DIRECTOR)
- **Authorized official phone:** (845) 353-2350

## Contact information

- **Practice address:** 21 BURD ST, NYACK, NY 10960-3205
- **Practice address phone:** (845) 353-2350
- **Practice address fax:** (845) 353-2397
- **Mailing address:** 21 BURD ST, NYACK, NY 10960-3205
- **Mailing address phone:** (845) 353-2350
- **Mailing address fax:** (845) 353-2397

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251300000X | Local Education Agency (LEA) | — | NY | — |
| 252Y00000X | Early Intervention Provider Agency | — | NY | Yes |

## Other

- **Enumeration date:** 10/21/2008
- **Last updated:** 10/21/2008