Provider Demographics
NPI:1144533548
Name:NEXT STEPS SOUTH
Entity type:Organization
Organization Name:NEXT STEPS SOUTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR II
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEYLA
Authorized Official - Middle Name:I
Authorized Official - Last Name:DITTERLIZZI
Authorized Official - Suffix:
Authorized Official - Credentials:CASAC
Authorized Official - Phone:718-993-3397
Mailing Address - Street 1:965 PEMART AVE
Mailing Address - Street 2:
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-2213
Mailing Address - Country:US
Mailing Address - Phone:914-736-1079
Mailing Address - Fax:
Practice Address - Street 1:260 E 161ST ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-3512
Practice Address - Country:US
Practice Address - Phone:718-993-3397
Practice Address - Fax:718-993-2460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-14
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY17228101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY613757Medicaid