Healthcare Provider Details

I. General information

NPI: 1740881994
Provider Name (Legal Business Name): TEACHER MOMMY DAYCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2020
Last Update Date: 07/29/2021
Certification Date: 07/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 W ROUTE 59 STE 10
SPRING VALLEY NY
10977-5495
US

IV. Provider business mailing address

230 W ROUTE 59 STE 10
SPRING VALLEY NY
10977-5495
US

V. Phone/Fax

Practice location:
  • Phone: 845-352-3890
  • Fax: 845-352-3891
Mailing address:
  • Phone: 845-352-3890
  • Fax: 845-352-3891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

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

VIII. Authorized Official

Name: MRS. SCHEINDL MICHALOWITZ
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 845-352-3890