Provider Demographics
NPI:1194004895
Name:HAPPY DRAGON OF NEW YORK
Entity Type:Organization
Organization Name:HAPPY DRAGON OF NEW YORK
Other - Org Name:HAPPY DRAGON CHILD AND FAMILY CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DULA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-446-9021
Mailing Address - Street 1:9825 HORACE HARDING EXPY
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368-4627
Mailing Address - Country:US
Mailing Address - Phone:718-446-9021
Mailing Address - Fax:718-271-0722
Practice Address - Street 1:8602 57TH AVE
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-4838
Practice Address - Country:US
Practice Address - Phone:718-446-9021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-11
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22463252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency