Provider Demographics
NPI:1831070804
Name:MILESTONE MATTERS EARLY INTERVENTION
Entity type:Organization
Organization Name:MILESTONE MATTERS EARLY INTERVENTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:646-221-1158
Mailing Address - Street 1:2938 W 16TH ST APT 315
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-3045
Mailing Address - Country:US
Mailing Address - Phone:646-221-1158
Mailing Address - Fax:718-360-9666
Practice Address - Street 1:2938 W 16TH ST APT 315
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-3045
Practice Address - Country:US
Practice Address - Phone:646-221-1158
Practice Address - Fax:718-360-9666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty