Provider Demographics
NPI:1285175042
Name:A&V EARLY STEPS SERVICES
Entity type:Organization
Organization Name:A&V EARLY STEPS SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:HUGO
Authorized Official - Last Name:GILER
Authorized Official - Suffix:SR
Authorized Official - Credentials:MSED
Authorized Official - Phone:646-409-2041
Mailing Address - Street 1:20412 45TH RD
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-3119
Mailing Address - Country:US
Mailing Address - Phone:646-409-2041
Mailing Address - Fax:
Practice Address - Street 1:20412 45TH RD
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-3119
Practice Address - Country:US
Practice Address - Phone:646-409-2041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-13
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency