Provider Demographics
NPI:1164037214
Name:RRR DEVELOPMENTAL EVALUATIONS, INC.
Entity Type:Organization
Organization Name:RRR DEVELOPMENTAL EVALUATIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:RITA
Authorized Official - Middle Name:G
Authorized Official - Last Name:FENSTER-NUNEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-673-5797
Mailing Address - Street 1:1526 DEBRA PL
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-1315
Mailing Address - Country:US
Mailing Address - Phone:516-673-5797
Mailing Address - Fax:
Practice Address - Street 1:1526 DEBRA PL
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-1315
Practice Address - Country:US
Practice Address - Phone:516-673-5797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-14
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency