Provider Demographics
NPI:1922486158
Name:TRACK STAR TUTORING
Entity Type:Organization
Organization Name:TRACK STAR TUTORING
Other - Org Name:TRACK STAR LEARNING CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:RAIMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-592-7827
Mailing Address - Street 1:25711 147TH DR
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11422-2927
Mailing Address - Country:US
Mailing Address - Phone:347-592-7827
Mailing Address - Fax:
Practice Address - Street 1:11430 175TH ST
Practice Address - Street 2:LINDEN BLVD. ENTRANCE
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11434-1324
Practice Address - Country:US
Practice Address - Phone:347-592-7827
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRACK STAR TUTORING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-07
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency