Previt

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

License

002031-1 Issued in NY

Legal business name

PREVIT

Practice address

64619TH St.
Brooklyn, NY 11218

Phone

(347) 236-7847

Fax

(718) 686-2910

NPI assigned

Sep 17, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Wolfe Medina, O.T.

Title

President

Phone

(347) 236-7847

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1558679043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BOND ST",
            "address_2": "SUITE 430",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212045",
            "telephone_number": "347-236-7847",
            "fax_number": "718-686-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64619TH ST.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11218",
            "telephone_number": "347-236-7847",
            "fax_number": "718-686-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "WOLFE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-236-7847",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "O.T."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NY",
            "license": "002031-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myldred Previl
• Lisbethe Previlon-Appo
• Beyancah Previlon
• Jessica Previlon
• Rebecca Previlon
• Keri Prewitt, RN
• Veronika Preys, RN
• Jonathan Prezant, LCSW
• Brandi Prezioso
• Michael S. Prezioso, PH.D.

• Developmental Disabilities Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Developmental Disabilities Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.