Excel-Abilities, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

010022-1 Issued in NY

Legal business name

EXCEL-ABILITIES, LLC

Practice address

1 George St
Glen Cove, NY 11542-1813

Phone

(516) 690-3681

NPI assigned

Nov 15, 2008

Organization subpart

No

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

Authorized official

Name

Michele Jo Petherick

Title

Ceo

Phone

(516) 690-3681

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1226707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226707200000",
    "number": "1154575215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GEORGE ST",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115421813",
            "telephone_number": "516-690-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GEORGE ST",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115421813",
            "telephone_number": "516-690-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL-ABILITIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-15",
        "last_updated": "2008-11-15",
        "status": "A",
        "authorized_official_last_name": "PETHERICK",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-690-3681"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "010022-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2008; 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.