OrganizationActive
A B a Professional Services
NPI 1205190725 · Early Intervention Provider Agency · Staten Island, NY
Provider details
- NPI number
- 1205190725
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Authorized official
- Jeanine Carlson, Owner
Mailing address
79 Oakdale St
Staten Island, NY 10308-2603
Registry dates
- Enumerated
- 2012-06-28
- Last updated
- 2012-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.