Provider Demographics
NPI:1548404429
Name:A STEP AHEAD THERAPY SERVICES, LLC
Entity type:Organization
Organization Name:A STEP AHEAD THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHINITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-496-4800
Mailing Address - Street 1:11 ELMWOOD LN
Mailing Address - Street 2:SYOSSET
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-6123
Mailing Address - Country:US
Mailing Address - Phone:516-496-4800
Mailing Address - Fax:631-424-0366
Practice Address - Street 1:38 S OYSTER BAY RD
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-5033
Practice Address - Country:US
Practice Address - Phone:516-496-4800
Practice Address - Fax:631-424-0366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-23
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency