Provider Demographics
NPI:1891058475
Name:CHILDREN R TREASURES
Entity Type:Organization
Organization Name:CHILDREN R TREASURES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL INSTRUCTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:DARIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS SPED
Authorized Official - Phone:718-257-1283
Mailing Address - Street 1:773 PINE ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11208-5025
Mailing Address - Country:US
Mailing Address - Phone:718-257-1283
Mailing Address - Fax:
Practice Address - Street 1:773 PINE ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11208-5025
Practice Address - Country:US
Practice Address - Phone:718-257-1283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-19
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY17OtherSPECIAL INSTRUCTION