Healthcare Provider Details

I. General information

NPI: 1255687505
Provider Name (Legal Business Name): NILDA ALGARIN BILINGUAL SPECIAL ED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2012
Last Update Date: 07/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 EXECUTIVE DR SUITE LL 105/108
PLAINVIEW NY
11803-1718
US

IV. Provider business mailing address

128 COMMONWEALTH AVE
MERRICK NY
11566-3523
US

V. Phone/Fax

Practice location:
  • Phone: 516-576-0962
  • Fax:
Mailing address:
  • Phone: 347-392-7737
  • Fax: 718-573-1039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number884497991
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: