Provider Demographics
NPI:1932545944
Name:CHERYL DRAGOTTI, INC.
Entity Type:Organization
Organization Name:CHERYL DRAGOTTI, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED AGENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:DRAGOTTI
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR/L
Authorized Official - Phone:917-566-7643
Mailing Address - Street 1:6 NAPPI CT
Mailing Address - Street 2:
Mailing Address - City:HAZLET
Mailing Address - State:NJ
Mailing Address - Zip Code:07730-2474
Mailing Address - Country:US
Mailing Address - Phone:917-566-7643
Mailing Address - Fax:732-444-3453
Practice Address - Street 1:6 NAPPI CT
Practice Address - Street 2:
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-2474
Practice Address - Country:US
Practice Address - Phone:917-566-7643
Practice Address - Fax:732-444-3453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-16
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013034252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency