Provider Demographics
NPI:1407441744
Name:MK EI SERVICES INC.
Entity Type:Organization
Organization Name:MK EI SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MILANA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOZINETS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-497-9544
Mailing Address - Street 1:6309 108TH ST APT 6G
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-1322
Mailing Address - Country:US
Mailing Address - Phone:917-497-9544
Mailing Address - Fax:
Practice Address - Street 1:6309 108TH ST APT 6G
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-1322
Practice Address - Country:US
Practice Address - Phone:917-497-9544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency