Provider Demographics
NPI:1235545039
Name:SUNNY DAYS
Entity Type:Organization
Organization Name:SUNNY DAYS
Other - Org Name:SUNNY DAYS
Other - Org Type:Other Name
Authorized Official - Title/Position:SPEACIAL EDUCATION TEACHER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:718-966-4503
Mailing Address - Street 1:306 BETHEL AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10307-1360
Mailing Address - Country:US
Mailing Address - Phone:718-966-4503
Mailing Address - Fax:
Practice Address - Street 1:306 BETHEL AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10307-1360
Practice Address - Country:US
Practice Address - Phone:718-966-4503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-01
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY517132252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency