MEDICARE: LAUREN POSNER INC

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	:	1447632732
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAUREN POSNER INC

Provider Business Mailing Address
First Line	:	2 DELL DR
Second Line	:
City	:	EAST ROCKAWAY
State	:	NY
Zip	:	11518-2108
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	303 E 83RD ST
Second Line	:	APT 4E
City	:	NEW YORK
State	:	NY
Zip	:	10028-4318
Country	:	US
Telephone Number	:	516-652-5835
Fax Number	:

Authorized Official
Title or Position	:	TREASURER
Name	:	DANIELLE POSNER
Credential	:	MS ED
Telephone Number	:	516-652-5835

Provider Enumeration Date	:	06/23/2015
Last Update Date	:	06/23/2015

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