MEDICARE: ACY SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1659921286
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACY SERVICES INC

Provider Business Mailing Address
First Line	:	5419 AVENUE J
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-2419
Country	:	US
Telephone Number	:	516-698-7642
Fax Number	:

Provider Business Practice Location Address
First Line	:	5419 AVENUE J
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-2419
Country	:	US
Telephone Number	:	516-698-7642
Fax Number	:

Authorized Official
Title or Position	:	EARLY INTERVENTION PROVIDER
Name	:	ASYA SHEYNBERG
Credential	:	MSED
Telephone Number	:	516-698-7642

Provider Enumeration Date	:	09/16/2019
Last Update Date	:	09/16/2019

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