Provider Demographics
NPI:1073975421
Name:NEFER ATUM INCORPORATION
Entity Type:Organization
Organization Name:NEFER ATUM INCORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TEACHER
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:NYS SPECIAL ED
Authorized Official - Phone:917-417-1099
Mailing Address - Street 1:528 HERKIMER ST
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-1127
Mailing Address - Country:US
Mailing Address - Phone:917-202-7684
Mailing Address - Fax:
Practice Address - Street 1:528 HERKIMER ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-1127
Practice Address - Country:US
Practice Address - Phone:917-202-7684
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-24
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY071624716252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency