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NPI Code Detail

MEDICARE: ON OUR WAY LEARNING CENTER

MEDICARE: ON OUR WAY LEARNING CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1252Y00000XEarly Intervention Provider Agency16800NY

General Provider Information

NPI Number : 1780829457
Entity Type Code : Organization
Provider Name (Legal Business Name) : ON OUR WAY LEARNING CENTER
Provider Business Mailing Address
First Line : 264 BEACH 19TH STREET
Second Line :
City : FAR ROCKAWAY
State : NY
Zip : 11691-4431
Country : US
Telephone Number : 718-868-2961
Fax Number : 718-868-1296
Provider Business Practice Location Address
First Line : 264 BEACH 19TH ST
Second Line :
City : FAR ROCKAWAY
State : NY
Zip : 11691-4431
Country : US
Telephone Number : 718-868-2961
Fax Number : 718-868-1296
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. BARRY STUART NISMAN
Credential :
Telephone Number : 718-868-2961
Provider Enumeration Date : 12/10/2008
Last Update Date : 12/10/2008

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Directions to “ON OUR WAY LEARNING CENTER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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