Provider Demographics
NPI:1932636768
Name:BRIGHT NOGGINS INC.
Entity Type:Organization
Organization Name:BRIGHT NOGGINS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARYANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMALIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-747-1102
Mailing Address - Street 1:1931 E 27TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-2536
Mailing Address - Country:US
Mailing Address - Phone:917-453-6868
Mailing Address - Fax:
Practice Address - Street 1:1931 E 27TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-2536
Practice Address - Country:US
Practice Address - Phone:917-453-6868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2607564252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency