NPI 1023486511

Impulse Support Care LLC

Organisation Early Intervention Provider Agency New York, NY

Practice location

Address: 295 Madison Ave Fl 12, New York, NY 10017-6379
Phone: (917) 815-4455

Authorised official

Name: Andrae Alexander Givans
Title: Ceo
Phone: (917) 815-4455

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in New York →

Registry record

NPI: 1023486511
Entity type: Organization
NPI issued: 14 Sep 2015
Record last updated: 14 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.