Healthcare Provider Details

I. General information

NPI: 1124956776
Provider Name (Legal Business Name): FOUNDATIONS LEARNING & DEVELOPMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 OSAGE LN
STATEN ISLAND NY
10312-6124
US

IV. Provider business mailing address

38 OSAGE LN
STATEN ISLAND NY
10312-6124
US

V. Phone/Fax

Practice location:
  • Phone: 917-439-3079
  • Fax:
Mailing address:
  • Phone: 917-439-3079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE PARENTI
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 917-439-3079