Organization · NPI-2
All Aboard Developmental Services LLC
Early Intervention Provider Agency · Bronx, NY
NPI number1306687108
StatusActive
Last updated in NPPESAug 2, 2024
Details
- NPI
- 1306687108
- Entity type
- Organization (NPI-2)
- Legal business name
- All Aboard Developmental Services LLC
- Organization subpart
- No
- Enumeration date
- Jun 5, 2024
- Certification date
- Aug 2, 2024
- Last updated
- Aug 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | – | Yes |
| 251B00000X | Case Management | – | – |
Practice location
1770 Bruckner BlvdBronx, NY 10473-3743
Phone 929-273-2975
Mailing address
2764 Natta BlvdBellmore, NY 11710-3220
Phone 929-273-2975
Authorized official
Widaly Vigo
Director
9292732975
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