Provider Demographics
NPI:1134503923
Name:VT'S ABC INC.
Entity Type:Organization
Organization Name:VT'S ABC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:VIBHA
Authorized Official - Middle Name:
Authorized Official - Last Name:TYAGI
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:631-902-2530
Mailing Address - Street 1:58 WESTWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11729-2211
Mailing Address - Country:US
Mailing Address - Phone:631-902-2530
Mailing Address - Fax:631-667-0235
Practice Address - Street 1:58 WESTWOOD AVE
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:NY
Practice Address - Zip Code:11729-2211
Practice Address - Country:US
Practice Address - Phone:631-902-2530
Practice Address - Fax:631-667-0235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-12
Last Update Date:2015-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY773981174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty