Provider Demographics
NPI:1740762335
Name:NYC DOE
Entity Type:Organization
Organization Name:NYC DOE
Other - Org Name:MS.
Other - Org Type:Other Name
Authorized Official - Title/Position:SPECIAL EDUCATION TEACHER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARAIO
Authorized Official - Suffix:
Authorized Official - Credentials:MS ED
Authorized Official - Phone:347-839-7623
Mailing Address - Street 1:441 LAKE ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-4639
Mailing Address - Country:US
Mailing Address - Phone:347-839-7623
Mailing Address - Fax:
Practice Address - Street 1:441 LAKE ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-4639
Practice Address - Country:US
Practice Address - Phone:347-839-7623
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0887683Medicaid