MEDICARE: EARLY BEGINNINGS 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	:	1740990043
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EARLY BEGINNINGS LLC

Provider Business Mailing Address
First Line	:	3977 BEDFORD AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-2435
Country	:	US
Telephone Number	:	917-783-3363
Fax Number	:

Provider Business Practice Location Address
First Line	:	3977 BEDFORD AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-2435
Country	:	US
Telephone Number	:	917-783-3363
Fax Number	:

Authorized Official
Title or Position	:	OWNER / MANAGING MEMBER
Name	:	MRS. ELLA ASKENAZI
Credential	:
Telephone Number	:	917-783-3363

Provider Enumeration Date	:	11/29/2022
Last Update Date	:	11/29/2022

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