Provider Demographics
NPI:1508171059
Name:ESPECIAL EDUCATION ASSOCIATES
Entity Type:Organization
Organization Name:ESPECIAL EDUCATION ASSOCIATES
Other - Org Name:ESPECIAL EDUCATION ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SPECIAL EDUCATION TEACHER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDDY
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:347-782-7230
Mailing Address - Street 1:1128 E 84TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-4733
Mailing Address - Country:US
Mailing Address - Phone:347-782-7230
Mailing Address - Fax:718-376-5506
Practice Address - Street 1:440 AVENUE P
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236
Practice Address - Country:US
Practice Address - Phone:718-376-5510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ESPECIAL EDUCATION ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY091665152101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty