Provider Demographics
NPI:1467003558
Name:MARY POPPINS TUTORING INC
Entity Type:Organization
Organization Name:MARY POPPINS TUTORING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:OLENA
Authorized Official - Middle Name:
Authorized Official - Last Name:KLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-696-6988
Mailing Address - Street 1:948 PATTERSON AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-6064
Mailing Address - Country:US
Mailing Address - Phone:917-696-6988
Mailing Address - Fax:
Practice Address - Street 1:948 PATTERSON AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-6064
Practice Address - Country:US
Practice Address - Phone:917-696-6988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-20
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency