Premier Providers INC.
Early Intervention Provider Agency in Kew Gardens, NY. Organization (NPI-2).
Details
- NPI
- 1508134305
- Entity type
- Organization (NPI-2)
- Legal business name
- Premier Providers INC.
- Organization subpart
- No
- Enumeration date
- Dec 7, 2011
- Last updated
- Dec 7, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | 0614371 | NY | Yes |
Practice location
103 82nd RdKew Gardens, NY 11415-1422
Phone 917-669-1991 · Fax 718-360-8957
Mailing address
103 82nd RdKew Gardens, NY 11415
Phone 917-669-1991 · Fax 718-360-8957
Authorized official
Tashana F Mohabir
Speech Language Pathologist
9176691991
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 13 Early Intervention Provider Agency providers in Kew Gardens · All 599 providers in Kew Gardens
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