NPI: 1669627550 · N MASSAPEQUA, NY 11758 · Early Intervention Provider Agency · NPI assigned 11/19/2008
| Authorized Official | AMBROSE, DIANE (DIRECTOR) |
| NPI Enumeration Date | 11/19/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 82 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 97129 | 82 | 12 | $6K |