Provider Demographics
NPI:1235433061
Name:COMFORT NURTURINGMINDS POSSIBILITIES OF LEARNING LTD
Entity Type:Organization
Organization Name:COMFORT NURTURINGMINDS POSSIBILITIES OF LEARNING LTD
Other - Org Name:JESOPHINE AGUOJI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUOJI
Authorized Official - Suffix:
Authorized Official - Credentials:EDD IN SPECIAL EDUC
Authorized Official - Phone:718-634-1135
Mailing Address - Street 1:564 BEACH 69TH ST
Mailing Address - Street 2:
Mailing Address - City:ARVERNE
Mailing Address - State:NY
Mailing Address - Zip Code:11692-1321
Mailing Address - Country:US
Mailing Address - Phone:646-387-2033
Mailing Address - Fax:
Practice Address - Street 1:564 BEACH 69TH ST
Practice Address - Street 2:
Practice Address - City:ARVERNE
Practice Address - State:NY
Practice Address - Zip Code:11692-1321
Practice Address - Country:US
Practice Address - Phone:646-387-2033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-09
Last Update Date:2011-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY695019222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4120OtherDIVISION OF HUMAN SERVICES
NY4120OtherDIVISION OF HUMAN