Provider Demographics
NPI:1073941068
Name:DAWN S INC.
Entity Type:Organization
Organization Name:DAWN S INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:JULETTE
Authorized Official - Last Name:ELLIOTT-SAMUELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-342-1245
Mailing Address - Street 1:80 OLD BOSTON POST RD
Mailing Address - Street 2:UNIT 12
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5358
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:80 OLD BOSTON POST RD.
Practice Address - Street 2:UNIT 12
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801
Practice Address - Country:US
Practice Address - Phone:646-342-1245
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-29
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY433076174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty