Provider Demographics
NPI:1821688474
Name:AMEERA,INC
Entity Type:Organization
Organization Name:AMEERA,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TEACHER
Authorized Official - Prefix:MS
Authorized Official - First Name:AMAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALASMAR
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED
Authorized Official - Phone:917-755-4060
Mailing Address - Street 1:24 LOTT PL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-2911
Mailing Address - Country:US
Mailing Address - Phone:917-755-4069
Mailing Address - Fax:
Practice Address - Street 1:24 LOTT PL
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-2911
Practice Address - Country:US
Practice Address - Phone:917-755-4069
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-18
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1255721585Medicaid