MEDICARE: MOUNT EARLY BLOOMERS LLC

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	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1023969334
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOUNT EARLY BLOOMERS LLC

Provider Business Mailing Address
First Line	:	4403 15TH AVE STE 499
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-1604
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1318 60TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-5018
Country	:	US
Telephone Number	:	718-400-9077
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ZALMEN LOVI
Credential	:
Telephone Number	:	718-400-9077

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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Directions to “MOUNT EARLY BLOOMERS LLC ” Practice Location

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