Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carla Widom

Individual provider Early Intervention Provider Agency · NPI 1396558417

Carla Widom is an Early Intervention Provider Agency in Arverne, New York. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
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Practice location Address checks out

422 Beach 64th St
Arverne, NY 11692-1423
Phone: (347) 418-2787
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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 number1396558417
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 31, 2025
Last updated in NPPESJanuary 31, 2025
Certification dateJanuary 31, 2025
Mailing address422 Beach 64th St, Arverne, NY 11692-1423

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