MEDICARE: PLAY INTERVENTION

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	251B00000X	Case Management Agency
2	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1013700236
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLAY INTERVENTION

Provider Business Mailing Address
First Line	:	920 BAYCHESTER AVE APT 5C
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10475-1739
Country	:	US
Telephone Number	:	347-360-6758
Fax Number	:

Provider Business Practice Location Address
First Line	:	920 BAYCHESTER AVE APT 5C
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10475-1739
Country	:	US
Telephone Number	:	347-360-6758
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. IKELIA HARRIOTT
Credential	:	MS
Telephone Number	:	347-360-6758

Provider Enumeration Date	:	05/28/2025
Last Update Date	:	03/10/2026

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Directions to “PLAY INTERVENTION ” Practice Location

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