Provider Demographics
NPI:1922780436
Name:LD PROGRESS. INC
Entity Type:Organization
Organization Name:LD PROGRESS. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SP.ED
Authorized Official - Prefix:
Authorized Official - First Name:LALI
Authorized Official - Middle Name:
Authorized Official - Last Name:DOROSINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:917-705-9053
Mailing Address - Street 1:2283 E 26TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-4941
Mailing Address - Country:US
Mailing Address - Phone:917-705-9053
Mailing Address - Fax:
Practice Address - Street 1:2283 E 26TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-4941
Practice Address - Country:US
Practice Address - Phone:917-705-9053
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty