Provider Demographics
NPI:1619501244
Name:QUALITY GUIDANCE INC
Entity Type:Organization
Organization Name:QUALITY GUIDANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TEACHER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ANASTASIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUBYR
Authorized Official - Suffix:
Authorized Official - Credentials:MS SP ED
Authorized Official - Phone:347-331-9595
Mailing Address - Street 1:40 SHORE BLVD APT 3L
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-4033
Mailing Address - Country:US
Mailing Address - Phone:347-331-9595
Mailing Address - Fax:
Practice Address - Street 1:40 SHORE BLVD APT 3L
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-4033
Practice Address - Country:US
Practice Address - Phone:347-331-9595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-22
Last Update Date:2020-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Single Specialty