Provider Demographics
NPI:1952632820
Name:FRITZ-MILAN EDUCATIONAL SERVICES LLC
Entity Type:Organization
Organization Name:FRITZ-MILAN EDUCATIONAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:E
Authorized Official - Last Name:FRITZ-MILAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:917-667-4191
Mailing Address - Street 1:PO BOX 200115
Mailing Address - Street 2:
Mailing Address - City:SOUTH OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11420-0115
Mailing Address - Country:US
Mailing Address - Phone:917-667-4191
Mailing Address - Fax:347-494-5503
Practice Address - Street 1:14012 ROCKAWAY BLVD
Practice Address - Street 2:
Practice Address - City:SOUTH OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11436-1416
Practice Address - Country:US
Practice Address - Phone:917-667-4191
Practice Address - Fax:347-494-5503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-16
Last Update Date:2010-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency