Healthcare Provider Details

I. General information

NPI: 1417835422
Provider Name (Legal Business Name): RISE AND SHINE EI INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2025
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5309 13TH AVE
BROOKLYN NY
11219-3805
US

IV. Provider business mailing address

5309 13TH AVE
BROOKLYN NY
11219-3805
US

V. Phone/Fax

Practice location:
  • Phone: 646-325-2659
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: CHAIM WEBER
Title or Position: SECRETARY
Credential:
Phone: 646-325-2659