Anonya Inglese

Individual provider Active NPI Early Intervention Provider Agency · Piermont, NY

NPI 1306200415 · NPPES record last updated Apr 6, 2016

Key facts

NPI
1306200415
Entity type
Individual (NPI type 1)
Primary specialty
Early Intervention Provider Agency 252Y00000X
License
1027519161 (NY)
Practice address
561 Route 9W
Piermont, NY 10968-1116
Phone
(845) 680-1420
NPI assigned
Apr 6, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1027519161NYMDEarly Intervention Provider Agency

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 1027519161 NY Yes

Addresses

Primary practice location

561 Route 9W
Piermont, NY 10968-1116

Mailing address

780 Kimball Ave
Apt. 3a
Yonkers, NY 10704-1569
Phone (914) 319-3906

Other providers in Piermont, NY

All providers in Piermont, NY · Early Intervention Provider Agency in New York

Sources for this page

Verify at the official NPI Registry.