Provider Demographics
NPI:1972849974
Name:OH, THE PLACES YOU'LL GO, LLC
Entity Type:Organization
Organization Name:OH, THE PLACES YOU'LL GO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:A
Authorized Official - Last Name:SIRACUSA
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:917-932-5706
Mailing Address - Street 1:66 TAUNTON ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-3653
Mailing Address - Country:US
Mailing Address - Phone:917-932-5706
Mailing Address - Fax:
Practice Address - Street 1:66 TAUNTON ST
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306
Practice Address - Country:US
Practice Address - Phone:917-932-5706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-19
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty