Provider Demographics
NPI:1467714600
Name:AYEE, MARJORIE ANNE (SPECIAL EDUCATOR)
Entity Type:Individual
Prefix:MRS
First Name:MARJORIE
Middle Name:ANNE
Last Name:AYEE
Suffix:
Gender:F
Credentials:SPECIAL EDUCATOR
Other - Prefix:MS
Other - First Name:MARJORIE
Other - Middle Name:ANNE
Other - Last Name:GRANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SE
Mailing Address - Street 1:489 JERSEY AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:NJ
Mailing Address - Zip Code:07022-1266
Mailing Address - Country:US
Mailing Address - Phone:201-943-5251
Mailing Address - Fax:
Practice Address - Street 1:535 8TH AVE FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-4332
Practice Address - Country:US
Practice Address - Phone:212-787-9700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-13
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY189404021174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist