Provider Demographics
NPI:1457620882
Name:MY DREAM MATTERS, INC.
Entity Type:Organization
Organization Name:MY DREAM MATTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS EXECUTIVE
Authorized Official - Prefix:MR
Authorized Official - First Name:CONSTANTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ELEFTHERIOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-526-6894
Mailing Address - Street 1:7109 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-1230
Mailing Address - Country:US
Mailing Address - Phone:347-526-6894
Mailing Address - Fax:
Practice Address - Street 1:7109 10TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-1230
Practice Address - Country:US
Practice Address - Phone:347-526-6894
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-13
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management