Provider Demographics
NPI:1407009137
Name:RISING STARS OF ROCKLAND
Entity Type:Organization
Organization Name:RISING STARS OF ROCKLAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:RIVKA
Authorized Official - Middle Name:
Authorized Official - Last Name:VANN
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:845-357-5583
Mailing Address - Street 1:23 OLYMPIA LN
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-2829
Mailing Address - Country:US
Mailing Address - Phone:845-357-5583
Mailing Address - Fax:
Practice Address - Street 1:23 OLYMPIA LN
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-2829
Practice Address - Country:US
Practice Address - Phone:845-357-5583
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-25
Last Update Date:2008-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency