Lamis Baowaidan, M.A.
Individual provider Active NPI Early Intervention Provider Agency · Palisades, NY
NPI 1841679040 · NPPES record last updated May 21, 2015
Key facts
- NPI
- 1841679040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- License
- 2360578 (NY)
- Practice address
- 680 Oak Tree Rd
Palisades, NY 10964-1532 - Phone
- (845) 359-8846
- NPI assigned
- May 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2360578 | NY | MD | Early Intervention Provider Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 2360578 | NY | Yes |
Addresses
Primary practice location
680 Oak Tree Rd
Palisades, NY 10964-1532
Mailing address
PO Box 716
Palisades, NY 10964-0716
Phone (845) 359-8846
Other providers in Palisades, NY
All providers in Palisades, 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 May 21, 2015. 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.