Provider Demographics
NPI:1932763877
Name:KINGS EDUCATION SERVICES, O.T., R.P.N., P.T., S.L.P., PLLC
Entity Type:Organization
Organization Name:KINGS EDUCATION SERVICES, O.T., R.P.N., P.T., S.L.P., PLLC
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:914-968-5464
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:2019-04-25
Last Update Date:2020-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251B00000XAgenciesCase Management