Provider Demographics
NPI:1295152320
Name:NULMAN, TOVA BAYLA (MS, ED)
Entity type:Individual
Prefix:MRS
First Name:TOVA
Middle Name:BAYLA
Last Name:NULMAN
Suffix:
Gender:F
Credentials:MS, ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1383 E 10TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-5753
Mailing Address - Country:US
Mailing Address - Phone:718-968-5410
Mailing Address - Fax:
Practice Address - Street 1:1383 E 10TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-5753
Practice Address - Country:US
Practice Address - Phone:718-968-5410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-26
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY635499121252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency