Provider Demographics
NPI:1306687108
Name:ALL ABOARD DEVELOPMENTAL SERVICES LLC
Entity type:Organization
Organization Name:ALL ABOARD DEVELOPMENTAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WIDALY
Authorized Official - Middle Name:
Authorized Official - Last Name:VIGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-273-2975
Mailing Address - Street 1:2764 NATTA BLVD
Mailing Address - Street 2:
Mailing Address - City:BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-3220
Mailing Address - Country:US
Mailing Address - Phone:929-273-2975
Mailing Address - Fax:
Practice Address - Street 1:1770 BRUCKNER BLVD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10473-3743
Practice Address - Country:US
Practice Address - Phone:929-273-2975
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-05
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251B00000XAgenciesCase Management