Provider Demographics
NPI:1053675496
Name:STATON LEARNING SYSTEMS
Entity Type:Organization
Organization Name:STATON LEARNING SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:ERLEEN
Authorized Official - Last Name:STATON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-559-4449
Mailing Address - Street 1:1616 GIVAN AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-2707
Mailing Address - Country:US
Mailing Address - Phone:917-559-4449
Mailing Address - Fax:718-881-9177
Practice Address - Street 1:1616 GIVAN AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-2707
Practice Address - Country:US
Practice Address - Phone:917-559-4449
Practice Address - Fax:718-881-9177
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STATON LEARNING SYSTEMS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-06-29
Last Update Date:2012-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY17613OtherDEPARTMENT OF HEALTH