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NPI Code Detail

MEDICARE: FIRST STEP, LLC

MEDICARE: FIRST STEP, 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
2252Y00000XEarly Intervention Provider Agency

General Provider Information

NPI Number : 1932461019
Entity Type Code : Organization
Provider Name (Legal Business Name) : FIRST STEP, LLC
Provider Business Mailing Address
First Line : 2955 BRIGHTON 4TH
Second Line : GR1
City : BROOKLYN
State : NY
Zip : 11235
Country : US
Telephone Number : 718-332-0080
Fax Number : 718-332-3365
Provider Business Practice Location Address
First Line : 2955 BRIGHTON 4TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-8533
Country : US
Telephone Number : 718-332-0080
Fax Number : 718-332-3365
Authorized Official
Title or Position : CEO
Name : OLGA NIZHNER
Credential :
Telephone Number : 718-332-0080
Provider Enumeration Date : 06/13/2012
Last Update Date : 06/05/2017

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Directions to “FIRST STEP, LLC ” Practice Location

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