Organization
EBS NY SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE WOOD (COORDINATOR)
(800) 578-7906
Entity
Organization
Contact information
Practice address
155 BAY RIDGE AVE, BROOKLYN, NY 11220-5108
(800) 578-7906
Mailing address
200 SKILES BLVD, WEST CHESTER, PA 19382-7321
(800) 578-7906
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000000
NEW ENTITIY
—
Enumeration date
06/13/2018
Last updated
06/16/2018
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