Provider Demographics
NPI:1396918710
Name:LABOR AND INDUSTRY FOR EDUCATION INC.
Entity type:Organization
Organization Name:LABOR AND INDUSTRY FOR EDUCATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EDUCATION DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:I
Authorized Official - Last Name:BERNSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:516-374-4564
Mailing Address - Street 1:112 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-1912
Mailing Address - Country:US
Mailing Address - Phone:516-374-4564
Mailing Address - Fax:516-374-4654
Practice Address - Street 1:112 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:CEDARHURST
Practice Address - State:NY
Practice Address - Zip Code:11516-1912
Practice Address - Country:US
Practice Address - Phone:516-374-4564
Practice Address - Fax:516-374-4654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-07
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY64010590251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02890297Medicaid