Crestwood Early Intervention LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

CRESTWOOD EARLY INTERVENTION LLC

Practice address

10 Crestwood Drive
Plainview, NY 11803

Phone

(917) 796-8106

NPI assigned

Aug 30, 2017

Last updated

Aug 30, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marjorie Elise TirsunNPI 1649656646

Title

Director

Phone

(917) 796-8106

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marjorie Elise Tirsun

  • Specialist
  • Plainview, NY
  • NPI 1649656646
  NPD (past) Authorized official

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504051200000",
    "number": "1952829988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CRESTWOOD DR",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118036408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CRESTWOOD DRIVE",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "11803",
            "telephone_number": "917-796-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTWOOD EARLY INTERVENTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2017-08-30",
        "status": "A",
        "authorized_official_last_name": "TIRSUN",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-796-8106"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chinara Corey, FNP-C
• Gabrielle Ann Cormace, M.S., CCC-SLP TSSLD
• Giselle Cortez
• Julia Costarella
• Robyn A. Cotler, MS RD CDN
• Georgina Crino
• Cross Island Surgical PC
• Crossroads Medical Practice, P.C.
• Denise Crowley
• Alison Heather Cruvant, M.S., CCC-SLP

• Early Intervention Provider Agency in Plainview, NY
• Providers in Plainview, 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 Aug 30, 2017; 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.