Healthcare Provider Details

I. General information

NPI: 1013700236
Provider Name (Legal Business Name): PLAY INTERVENTION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2025
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 BAYCHESTER AVE APT 5C
BRONX NY
10475-1739
US

IV. Provider business mailing address

920 BAYCHESTER AVE APT 5C
BRONX NY
10475-1739
US

V. Phone/Fax

Practice location:
  • Phone: 347-360-6758
  • Fax:
Mailing address:
  • Phone: 347-360-6758
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. IKELIA HARRIOTT
Title or Position: OWNER
Credential: MS
Phone: 347-360-6758