Provider Demographics
NPI:1508578378
Name:PRECIOUS JEWELS EARLY INTERVENTION LLC
Entity Type:Organization
Organization Name:PRECIOUS JEWELS EARLY INTERVENTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TEACHER OF SWD BIRTH-GRADE 2
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:HELEL
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:M S ED
Authorized Official - Phone:646-326-8587
Mailing Address - Street 1:228 PARK AVE S # 738814
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-1502
Mailing Address - Country:US
Mailing Address - Phone:646-326-8587
Mailing Address - Fax:
Practice Address - Street 1:330 LENOX RD APT 7M
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-2258
Practice Address - Country:US
Practice Address - Phone:646-326-8587
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-22
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency