Provider Demographics
NPI:1346888799
Name:ST.BERNARD MARSHALL SPECIAL SERVICES CORP
Entity Type:Organization
Organization Name:ST.BERNARD MARSHALL SPECIAL SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL INSTRUCTOR/ SPEECH IMPROVEM
Authorized Official - Prefix:MS
Authorized Official - First Name:ALETHEA
Authorized Official - Middle Name:STBERNARD
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:MSED /TSHH
Authorized Official - Phone:646-261-3418
Mailing Address - Street 1:984 E 94TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-2024
Mailing Address - Country:US
Mailing Address - Phone:646-261-3418
Mailing Address - Fax:
Practice Address - Street 1:984 E 94TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-2024
Practice Address - Country:US
Practice Address - Phone:646-261-3418
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-17
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty