Provider Demographics
NPI:1508341496
Name:SOMETHING ELSE TO LEARNING, INC
Entity Type:Organization
Organization Name:SOMETHING ELSE TO LEARNING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLTON
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:347-224-1522
Mailing Address - Street 1:990 MONTGOMERY ST APT 3D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-5773
Mailing Address - Country:US
Mailing Address - Phone:347-224-1522
Mailing Address - Fax:
Practice Address - Street 1:990 MONTGOMERY ST APT 3D
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-5773
Practice Address - Country:US
Practice Address - Phone:347-224-1522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-26
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1598027781Medicaid