Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 251B00000X | Case Management | | 002035 | NEW YORK | No |
| 2 | 251E00000X | Home Health | | 00631 | CONNECTICUT | No |
| 3 | 251E00000X | Home Health | | 002035 | NEW YORK | No |
| 4 | 252Y00000X | Early Intervention Provider Agency | | 00631 | CONNECTICUT | No |
| 5 | 252Y00000X | Early Intervention Provider Agency | | 002035 | NEW YORK | No |
| 6 | 283XC2000X | Rehabilitation Hospital | Children | 002035 | NEW YORK | No |
| 7 | 302F00000X | Exclusive Provider Organization | | 002035 | NEW YORK | No |
| 8 | 302F00000X | Exclusive Provider Organization | | 00631 | CONNECTICUT | No |
| 9 | 302R00000X | Health Maintenance Organization | | 00631 | CONNECTICUT | No |
| 10 | 302R00000X | Health Maintenance Organization | | 002035 | NEW YORK | No |
| 11 | 305R00000X | Preferred Provider Organization | | 00631 | CONNECTICUT | No |
| 12 | 305R00000X | Preferred Provider Organization | | 002035 | NEW YORK | No |
| 13 | 305S00000X | Point of Service | | 002035 | NEW YORK | No |
| 14 | 305S00000X | Point of Service | | 002035 | CONNECTICUT | No |
| 15 | 253J00000X | Foster Care Agency | | 00631 | CONNECTICUT | Yes |