Provider Demographics
NPI:1699172155
Name:ALLIED INTERVENTION ASSOCIATES, LLC
Entity type:Organization
Organization Name:ALLIED INTERVENTION ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COFOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-249-5814
Mailing Address - Street 1:345 WEBSTER AVE
Mailing Address - Street 2:6I
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-1450
Mailing Address - Country:US
Mailing Address - Phone:347-249-5814
Mailing Address - Fax:
Practice Address - Street 1:345 WEBSTER AVE
Practice Address - Street 2:6I
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-1450
Practice Address - Country:US
Practice Address - Phone:347-249-5814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-28
Last Update Date:2014-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency