Lise Petricone Inc. DBA Small Steps

NPI #1639321730 in Nyack, New York

Provider Information

NPI Number: 1639321730
Entity Type: Organization
Organization Name: Lise Petricone Inc. DBA Small Steps
Primary Specialty: Early Intervention Provider Agency
Enumeration Date: Oct 21, 2008
Last Updated: Oct 21, 2008

Practice Location

Address: 21 BURD ST
City: Nyack
State: New York
ZIP Code: 10960-3205
Phone: (845) 353-2350

Authorized Official

Name: MS. LISE PETRICONE
Title: PRESIDENT/DIRECTOR
Phone: (845) 353-2350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Local Education Agency (LEA)	251300000X
Early Intervention Provider Agency	252Y00000X	Primary

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