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NPI Code Detail

MEDICARE: LITTLE ACHIEVERS EI, LLC

MEDICARE: LITTLE ACHIEVERS EI, 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
1251B00000XCase Management Agency
2251E00000XHome Health Agency
3252Y00000XEarly Intervention Provider Agency

General Provider Information

NPI Number : 1144832809
Entity Type Code : Organization
Provider Name (Legal Business Name) : LITTLE ACHIEVERS EI, LLC
Provider Business Mailing Address
First Line : 2334 E 28TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-5034
Country : US
Telephone Number : 347-922-4349
Fax Number :
Provider Business Practice Location Address
First Line : 2334 E 28TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-5034
Country : US
Telephone Number : 646-617-6828
Fax Number :
Authorized Official
Title or Position : CEO, PROGRAM DIRECTOR
Name : STEVEN GUTIN
Credential : DPT
Telephone Number : 347-922-4349
Provider Enumeration Date : 08/23/2020
Last Update Date : 05/08/2021

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Directions to “LITTLE ACHIEVERS EI, LLC ” Practice Location

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