Provider Demographics
NPI:1689230153
Name:A.M. EARLY START INC
Entity Type:Organization
Organization Name:A.M. EARLY START INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL INSTRUCTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALEKSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MASTUROVA
Authorized Official - Suffix:
Authorized Official - Credentials:MS ED
Authorized Official - Phone:646-267-4505
Mailing Address - Street 1:16416 76TH RD
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11366-1255
Mailing Address - Country:US
Mailing Address - Phone:646-267-4505
Mailing Address - Fax:
Practice Address - Street 1:16416 76TH RD
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11366-1255
Practice Address - Country:US
Practice Address - Phone:646-267-4505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-10
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty