New York Child

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

NEW YORK CHILD

Practice address

10222 216TH St
Queens Village, NY 11429-1125

Phone

(718) 464-3139

Fax

(718) 464-3139

NPI assigned

Jul 16, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Gwenneth Megan Clarke

Title

Special Education Teacher

Phone

(718) 464-3139

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1578818522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10222 216TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291125",
            "telephone_number": "718-464-3139",
            "fax_number": "718-464-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10222 216TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291125",
            "telephone_number": "718-464-3139",
            "fax_number": "718-464-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK CHILD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "GWENNETH",
        "authorized_official_middle_name": "MEGAN",
        "authorized_official_title_or_position": "SPECIAL EDUCATION TEACHER",
        "authorized_official_telephone_number": "718-464-3139",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Queens Village, NY
• Providers in Queens Village, 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 Jul 21, 2022; 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.