Provider Demographics
NPI:1154842730
Name:PATIENCE, PESISTANCE & PERSEVERANCE
Entity Type:Organization
Organization Name:PATIENCE, PESISTANCE & PERSEVERANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDINA
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:347-834-1437
Mailing Address - Street 1:2047 NOSTRAND AVE APT 3E
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-2506
Mailing Address - Country:US
Mailing Address - Phone:347-834-1437
Mailing Address - Fax:
Practice Address - Street 1:566 54TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-3115
Practice Address - Country:US
Practice Address - Phone:646-206-8715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-04
Last Update Date:2017-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency