Vivid Imagination Station LLC
Vivid Imagination Station LLC is an Early Intervention Provider Agency in Staten Island, New York. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
216 Justin AveStaten Island, NY 10306-3744
Phone: (718) 730-4442
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X |
|---|
Record details
| NPI number | 1033954227 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Irena Bilous — Special Education · (718) 730-4442 |
| NPI enumerated | June 28, 2024 |
| Last updated in NPPES | July 1, 2024 |
| Certification date | July 1, 2024 |
| Mailing address | 216 Justin Ave, Staten Island, NY 10306-3744 |
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