Provider Demographics
NPI:1174852123
Name:MARTIN DE PORRES SCHOOL FOR EXCEPTIONAL CHILDREN, INC.
Entity Type:Organization
Organization Name:MARTIN DE PORRES SCHOOL FOR EXCEPTIONAL CHILDREN, INC.
Other - Org Name:MARTIN DE PORRES SCHOOL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR: QA / COMPLIANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:DARNOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:1718-525-5649
Mailing Address - Street 1:13625 218TH ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11413-2226
Mailing Address - Country:US
Mailing Address - Phone:171-852-5341
Mailing Address - Fax:171-852-5098
Practice Address - Street 1:13625 218TH ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11413-2226
Practice Address - Country:US
Practice Address - Phone:171-852-5341
Practice Address - Fax:171-285-2509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-21
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable