Provider Demographics
NPI:1164864609
Name:GROCHILD CORP
Entity Type:Organization
Organization Name:GROCHILD CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL ED. TEACHER
Authorized Official - Prefix:
Authorized Official - First Name:TATYANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PODSTRELOVA
Authorized Official - Suffix:
Authorized Official - Credentials:MS ED
Authorized Official - Phone:718-645-2090
Mailing Address - Street 1:1745 E 12TH ST APT 5C
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1033
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:718-645-2090
Practice Address - Street 1:1745 E 12TH ST APT 5C
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1033
Practice Address - Country:US
Practice Address - Phone:646-704-4282
Practice Address - Fax:718-645-2090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-25
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY558677111252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency