MEDICARE: STARTING POINT SERVICES

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	7896191131	NY

General Provider Information

NPI Number	:	1275937377
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STARTING POINT SERVICES

Provider Business Mailing Address
First Line	:	4314 216TH ST
Second Line	:	BAYSIDE
City	:	BAYSIDE
State	:	NY
Zip	:	11361-2943
Country	:	US
Telephone Number	:	718-749-6897
Fax Number	:

Provider Business Practice Location Address
First Line	:	4314 216TH ST
Second Line	:	BAYSIDE
City	:	BAYSIDE
State	:	NY
Zip	:	11361-2943
Country	:	US
Telephone Number	:	718-749-6897
Fax Number	:

Authorized Official
Title or Position	:	SPECIAL EDUCATOR
Name	:	MISS CLARA LIRIANO
Credential	:	MS. ED.
Telephone Number	:	718-749-6897

Provider Enumeration Date	:	10/17/2014
Last Update Date	:	10/17/2014

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Directions to “STARTING POINT SERVICES ” Practice Location

Language	Start Address	Practice Location

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