Lb411

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

052747980 Issued in NY

Legal business name

LB411

Practice address

370 Sand LN
Staten Island, NY 10305-4551

Phone

(347) 579-8474

NPI assigned

Jun 26, 2012

Organization subpart

No

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

Authorized official

Name

Isabella Deangelis

Title

TSHH, Ms. Ed.

Phone

(347) 579-8474

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1376807222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 SAND LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 SAND LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054551",
            "telephone_number": "347-579-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LB411",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "DEANGELIS",
        "authorized_official_first_name": "ISABELLA",
        "authorized_official_title_or_position": "TSHH, MS. ED.",
        "authorized_official_telephone_number": "347-579-8474"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "052747980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristie R Lazzara, DC
• Lisa Lazzara, DDS
• Robyn Lazzara
• Anthony Joseph Lazzaro
• Alexa Lazzarotti
• LCLJ Optical Corp.
• LCSW Evaluations and Clinical Social Work, P.C.
• Kyrene Joyce Le
• Timothy Nguyen Le, MD
• Lauren M Leader, CRNA

• Early Intervention Provider Agency in Staten Island, NY
• Providers in Staten Island, 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 Jun 26, 2012; 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.