Healthcare Provider Details

I. General information

NPI: 1285560813
Provider Name (Legal Business Name): HEAD2SOLE EARLY INTERVENTION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 COLUMBUS AVE APT 14F
NEW YORK NY
10025-6679
US

IV. Provider business mailing address

700 COLUMBUS AVE APT 14F
NEW YORK NY
10025-6679
US

V. Phone/Fax

Practice location:
  • Phone: 646-584-0720
  • Fax:
Mailing address:
  • Phone:
  • 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: HELEN GIDALI
Title or Position: CEO
Credential: MA
Phone: 646-584-0720