Provider Demographics
NPI:1497147672
Name:BLUE SEA EDUCATIONAL CONSULTING, INC.
Entity Type:Organization
Organization Name:BLUE SEA EDUCATIONAL CONSULTING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MORTATI
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:631-368-2583
Mailing Address - Street 1:25 FENIMORE LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-5720
Mailing Address - Country:US
Mailing Address - Phone:631-368-2583
Mailing Address - Fax:631-368-5357
Practice Address - Street 1:25 FENIMORE LN
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-5720
Practice Address - Country:US
Practice Address - Phone:631-368-2583
Practice Address - Fax:631-368-5357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-25
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management