Organization
S AND P INTERVENTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA C COSTA (PRESIDENT)
(914) 774-6350
Entity
Organization
Contact information
Practice address
50 YONKERS TER, APT. # 3A, YONKERS, NY 10704-3345
(914) 774-6350
Mailing address
50 YONKERS TER, APT. # 3A, YONKERS, NY 10704-3345
(914) 774-6350
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
126484
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982043303
NPI
NY
Enumeration date
09/12/2016
Last updated
09/12/2016
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