Provider Demographics
NPI:1164784633
Name:SHREE RAJ SERVICES INC.
Entity Type:Organization
Organization Name:SHREE RAJ SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:RASHMIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MS ED
Authorized Official - Phone:646-696-6129
Mailing Address - Street 1:2417 JERICHO TPKE
Mailing Address - Street 2:#387
Mailing Address - City:GARDEN CITY PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-4710
Mailing Address - Country:US
Mailing Address - Phone:646-696-6129
Mailing Address - Fax:
Practice Address - Street 1:2417 JERICHO TPKE
Practice Address - Street 2:#387
Practice Address - City:GARDEN CITY PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-4710
Practice Address - Country:US
Practice Address - Phone:646-696-6129
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-11
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency