Provider Demographics
NPI:1295519569
Name:DAISY DREAM PROJECT
Entity type:Organization
Organization Name:DAISY DREAM PROJECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:MARINA
Authorized Official - Last Name:POPE
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:914-564-7579
Mailing Address - Street 1:46 HILLCREST RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10552-1509
Mailing Address - Country:US
Mailing Address - Phone:914-564-7579
Mailing Address - Fax:
Practice Address - Street 1:46 HILLCREST RD
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10552-1509
Practice Address - Country:US
Practice Address - Phone:914-564-7579
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency