Provider Demographics
NPI:1144693680
Name:WILLIAMS AND ASSOCIATES EARLY INTERVENTION SERVICES LLC
Entity type:Organization
Organization Name:WILLIAMS AND ASSOCIATES EARLY INTERVENTION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAHZIA
Authorized Official - Middle Name:ANDRE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:646-474-2248
Mailing Address - Street 1:1548 FULTON ST
Mailing Address - Street 2:SUITE 3R
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11216-5376
Mailing Address - Country:US
Mailing Address - Phone:646-474-2248
Mailing Address - Fax:
Practice Address - Street 1:1548 FULTON ST
Practice Address - Street 2:SUITE 3R
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11216-5376
Practice Address - Country:US
Practice Address - Phone:646-474-2248
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-05
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY396183252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency