Healthcare Provider Details
I. General information
NPI: 1598013641
Provider Name (Legal Business Name): DOING IT THE WRIGHT WAY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/21/2012
Last Update Date: 05/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
69 CONLON RD
ROOSEVELT NY
11575-1516
US
IV. Provider business mailing address
69 CONLON RD
ROOSEVELT NY
11575-1516
US
V. Phone/Fax
- Phone: 347-264-0483
- Fax:
- Phone: 347-264-0483
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251V00000X |
| Taxonomy | Voluntary or Charitable Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 252Y00000X |
| Taxonomy | Early Intervention Provider Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MILLICENT
WRIGHT
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 347-264-0483