Kelly Bieber, M.A.
Individual provider Active NPI Early Intervention Provider Agency · Howard Beach, NY
NPI 1497180376 · NPPES record last updated Sep 10, 2013
Key facts
- NPI
- 1497180376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- Practice address
- 15645 84TH St
Howard Beach, NY 11414-2645 - Phone
- (718) 738-1800
- NPI assigned
- Sep 10, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skip | Early Intervention Provider Agency | Past | Accepting new patients |
| Special Kids Intervention Program, Inc | Past | Accepting new patients | |
| Toddler Infant Preschool | Early Intervention Provider Agency | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Yes |
Addresses
Primary practice location
15645 84TH St
Howard Beach, NY 11414-2645
Mailing address
457 18TH St
West Babylon, NY 11704-2201
Phone (631) 236-7644
Other names
- Kelly Crandall
Other providers in Howard Beach, NY
- Samana Bhandari
- Biderman Dental PC
- Ira Biderman
- Jonathan Craig Biderman
- Benjamin Bieber
- Marcia Ellen Binenbaum
- Thomas A Bizzaro
- Blue Horizons Daycare
- Shyon Bobb
- Justine Boccia
All providers in Howard Beach, NY · Early Intervention Provider Agency in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.