=====================================================
General NPI Number Information
=====================================================
NPI Number | 1376798744
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MEANINGFUL BEGINNINGS, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/26/2008
-----------------------------------------------------
Last Update Date | 11/26/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 220 RIVERSIDE BLVD APT 5U
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10069-1001
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-877-2743
-----------------------------------------------------
Fax | 212-877-2723
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 220 RIVERSIDE BLVD APT 5U
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10069-1001
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-877-2743
-----------------------------------------------------
Fax | 212-877-2723
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | FRANCIA N BRITO
-----------------------------------------------------
Credential | OCCUPATIONAL THERAPI
-----------------------------------------------------
Telephone | 212-877-2743
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number | 011414-1
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------