Provider Demographics
NPI:1588183339
Name:GERI P SERVICES INC.
Entity Type:Organization
Organization Name:GERI P SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATOR
Authorized Official - Prefix:
Authorized Official - First Name:GUERGANA
Authorized Official - Middle Name:P
Authorized Official - Last Name:PERCELEANU
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:917-607-3285
Mailing Address - Street 1:5938 GATES AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-2543
Mailing Address - Country:US
Mailing Address - Phone:917-607-3285
Mailing Address - Fax:
Practice Address - Street 1:5938 GATES AVE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NY
Practice Address - Zip Code:11385
Practice Address - Country:US
Practice Address - Phone:917-607-3285
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-13
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency