Phoenix Early Intervention LLC

NPI #1245199116 in Albany, New York

Provider Information

NPI Number
1245199116
Entity Type
Organization
Organization Name
Phoenix Early Intervention LLC
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Jan 16, 2026
Last Updated
Jan 16, 2026

Practice Location

Address
418 BROADWAY STE N
City
Albany
ZIP Code
12207-2922
Phone
(518) 241-6552

Authorized Official

Name
MR. JESSE CASCO
Title
CEO
Phone
(917) 231-5776

Specialties & Taxonomy Codes

Specialty
Case Management
Early Intervention Provider Agency

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