Mesidor Early Intervention LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

328194 Issued in NY

Legal business name

MESIDOR EARLY INTERVENTION LLC

Practice address

7916 147TH St Apt C8
Flushing, NY 11367-3766

Phone

(347) 410-3248

NPI assigned

Feb 24, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Micheline Mesidor, MS

Title

Special Instructor

Phone

(347) 410-3248

Specialties & licenses 1

Addresses

Other names 1

• Micheline Mesidor Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1003317017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7916 147TH ST APT C8",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673766",
            "telephone_number": "347-410-3248",
            "fax_number": "347-960-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7916 147TH ST APT C8",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673766",
            "telephone_number": "347-410-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESIDOR EARLY INTERVENTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-24",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "MESIDOR",
        "authorized_official_first_name": "MICHELINE",
        "authorized_official_title_or_position": "SPECIAL INSTRUCTOR",
        "authorized_official_telephone_number": "347-410-3248",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "328194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Micheline Mesidor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen Merola, M.D.
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• George Merring, COTA
• Christina Merritt, RN
• Merry Adult Day Care Inc
• Karin Messiha, DPM
• Ashley Messinger
• Jacqueline Mesza
• Met Physical Therapy PC
• Rachelle H Meth, M.D.

• Early Intervention Provider Agency in Flushing, NY
• Providers in Flushing, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.