Provider Demographics
NPI:1639667793
Name:BRIGHT START INC
Entity Type:Organization
Organization Name:BRIGHT START INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TEACHER OF SPECIAL EDUCATION
Authorized Official - Prefix:
Authorized Official - First Name:IRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVYDOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-662-3794
Mailing Address - Street 1:45 OCEANA DR E APT 4H
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-6678
Mailing Address - Country:US
Mailing Address - Phone:917-662-3794
Mailing Address - Fax:
Practice Address - Street 1:45 OCEANA DR E APT 4H
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-6678
Practice Address - Country:US
Practice Address - Phone:917-662-3794
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-24
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency