Provider Demographics
NPI:1902031370
Name:EARLY STARS0
Entity Type:Organization
Organization Name:EARLY STARS0
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/ TEACHER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EUNICE
Authorized Official - Middle Name:EKPEDEME
Authorized Official - Last Name:UDOFIA-EKPIN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:718-485-8590
Mailing Address - Street 1:842 THOMAS BOYLAND STREET
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212
Mailing Address - Country:US
Mailing Address - Phone:718-485-8590
Mailing Address - Fax:718-485-8590
Practice Address - Street 1:842 THOMAS BOYLAND STREET
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212
Practice Address - Country:US
Practice Address - Phone:347-526-1888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-28
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency