S&M17 Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

S&M17 INC

Practice address

2790 W 5TH St Apt 11E
Brooklyn, NY 11224-4125

Phone

(917) 531-4800

NPI assigned

Mar 29, 2020

Organization subpart

No

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

Authorized official

Name

Marleen Zhik

Title

Early Intervenntionist

Phone

(917) 531-4800

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marleen Aizman

  • Specialist
  • Brooklyn, NY
  • NPI 1396182671
  NPD

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

{
    "created_epoch": "1585440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1326676107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 W 5TH ST APT 11E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244125",
            "telephone_number": "917-531-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 W 5TH ST APT 11E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244125",
            "telephone_number": "917-531-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S&M17 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-29",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "ZHIK",
        "authorized_official_first_name": "MARLEEN",
        "authorized_official_title_or_position": "EARLY INTERVENNTIONIST",
        "authorized_official_telephone_number": "917-531-4800"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Brooklyn, NY
• Providers in Brooklyn, 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 Oct 23, 2020; 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.