Provider Demographics
NPI: | 1811459076 |
---|---|
Name: | KINGS EDUCATION SERVICES |
Entity type: | Organization |
Organization Name: | KINGS EDUCATION SERVICES |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | FELIX |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ENABOSI |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | PHD |
Authorized Official - Phone: | 646-772-6724 |
Mailing Address - Street 1: | 30 S BROADWAY FL 4 |
Mailing Address - Street 2: | |
Mailing Address - City: | YONKERS |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 10701-3708 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 914-968-5464 |
Mailing Address - Fax: | 845-278-2921 |
Practice Address - Street 1: | 30 S BROADWAY FL 4 |
Practice Address - Street 2: | |
Practice Address - City: | YONKERS |
Practice Address - State: | NY |
Practice Address - Zip Code: | 10701-3708 |
Practice Address - Country: | US |
Practice Address - Phone: | 914-968-5464 |
Practice Address - Fax: | 845-278-2921 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2019-04-04 |
Last Update Date: | 2019-04-04 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 225XP0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Pediatrics | Group - Multi-Specialty |