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NPI Code Detail

MEDICARE: JUMPSTART EARLY INTERVENTION PROGRAM

MEDICARE: JUMPSTART EARLY INTERVENTION PROGRAM
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
1302F00000XExclusive Provider OrganizationNY

General Provider Information

NPI Number : 1831466598
Entity Type Code : Organization
Provider Name (Legal Business Name) : JUMPSTART EARLY INTERVENTION PROGRAM
Provider Business Mailing Address
First Line : 1400 CONEY ISLAND AVENUE
Second Line :
City : BROOKLYN
State : NY
Zip : 11230
Country : US
Telephone Number : 646-401-1741
Fax Number :
Provider Business Practice Location Address
First Line : 2294 NOSTRAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-3810
Country : US
Telephone Number : 718-853-0900
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. BRIAN SEEWALD
Credential :
Telephone Number : 718-853-0900
Provider Enumeration Date : 11/23/2011
Last Update Date : 08/12/2025

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Directions to “JUMPSTART EARLY INTERVENTION PROGRAM ” Practice Location

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