Organization
EASTER SEALS RHODE ISLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL KHOURY (CFO)
(212) 727-4270
Entity
Organization
Contact information
Practice address
320 PHILLIPS ST, UNIT 103, NORTH KINGTOWN, RI 02852-5149
(401) 284-1000
(401) 284-1006
Mailing address
633 THIRD AVENUE 6TH FLOOR, NEW YORK, NY 10017-6701
(212) 727-4270
(212) 727-4374
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33052-9
BLUE CROSS RHODE ISLAND
RI
01
—
3711A 31611
NEIGHBORHOOD HEALTH PLAN
RI
01
—
413366
BLUE CHIP
RI
05
—
ES59506
—
RI
05
—
ES68496
—
RI
05
—
ES76201
—
RI
Enumeration date
09/10/2007
Last updated
01/06/2020
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