Provider Demographics
NPI:1073875399
Name:WYNETTE CAESAR CORP
Entity Type:Organization
Organization Name:WYNETTE CAESAR CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATOR
Authorized Official - Prefix:
Authorized Official - First Name:WYNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAESAR
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:646-345-3789
Mailing Address - Street 1:559 E 85TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-3248
Mailing Address - Country:US
Mailing Address - Phone:646-345-3789
Mailing Address - Fax:
Practice Address - Street 1:559 E 85TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-3248
Practice Address - Country:US
Practice Address - Phone:646-345-3789
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
830225742OtherNYS LEARNERS PERMIT