Provider Demographics
NPI:1356711733
Name:HAPPY HEARTS HEADQUARTER
Entity type:Organization
Organization Name:HAPPY HEARTS HEADQUARTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPIETOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NARCISA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOLEDO-AKAY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMSW
Authorized Official - Phone:917-971-4895
Mailing Address - Street 1:6906 58TH RD
Mailing Address - Street 2:
Mailing Address - City:MASPETH
Mailing Address - State:NY
Mailing Address - Zip Code:11378-2646
Mailing Address - Country:US
Mailing Address - Phone:917-971-4895
Mailing Address - Fax:
Practice Address - Street 1:6906 58TH RD
Practice Address - Street 2:
Practice Address - City:MASPETH
Practice Address - State:NY
Practice Address - Zip Code:11378-2646
Practice Address - Country:US
Practice Address - Phone:917-971-4895
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-29
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY72069856252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency