Provider Demographics
NPI:1750723979
Name:GAIS TENDER LOVING CORP
Entity type:Organization
Organization Name:GAIS TENDER LOVING CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAVITRI
Authorized Official - Middle Name:
Authorized Official - Last Name:MISIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-817-1991
Mailing Address - Street 1:36 CATHEDRAL AVE APT 4F
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-2031
Mailing Address - Country:US
Mailing Address - Phone:917-817-1991
Mailing Address - Fax:516-414-1547
Practice Address - Street 1:36 CATHEDRAL AVE APT 4F
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-2031
Practice Address - Country:US
Practice Address - Phone:917-817-1991
Practice Address - Fax:516-414-1547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-30
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency