Provider Demographics
NPI:1508317652
Name:JOSEFA ORIO PERAZA INC
Entity Type:Organization
Organization Name:JOSEFA ORIO PERAZA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEVELOPMENTAL EVALUATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOSEFA
Authorized Official - Middle Name:
Authorized Official - Last Name:ORIO MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:TSHH/MS ED
Authorized Official - Phone:347-989-7144
Mailing Address - Street 1:2559 HONE AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-4401
Mailing Address - Country:US
Mailing Address - Phone:347-989-7144
Mailing Address - Fax:
Practice Address - Street 1:2559 HONE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-4401
Practice Address - Country:US
Practice Address - Phone:347-989-7144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-24
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY758505252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency