Provider Demographics
NPI:1033988126
Name:JEWLT INC.
Entity Type:Organization
Organization Name:JEWLT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SP ED TEACHER
Authorized Official - Prefix:
Authorized Official - First Name:ELINORA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRUBER
Authorized Official - Suffix:
Authorized Official - Credentials:MS ED
Authorized Official - Phone:718-809-3823
Mailing Address - Street 1:1333 E 18TH ST APT 6C
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-7512
Mailing Address - Country:US
Mailing Address - Phone:718-809-3823
Mailing Address - Fax:
Practice Address - Street 1:1333 E 18TH ST APT 6C
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-7512
Practice Address - Country:US
Practice Address - Phone:718-809-3823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-29
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency