=====================================================
General NPI Number Information
=====================================================
NPI Number | 1629508015
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HUDAFA TUTORING RESOURCES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/18/2017
-----------------------------------------------------
Last Update Date | 07/21/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 128 RIVINGTON ST APT 4R
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10002-2368
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-673-2429
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 128 RIVINGTON ST APT 4R
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10002-2368
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-673-2429
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EARLY INTERVENTION SPECIALIST
-----------------------------------------------------
Name | MS. HULDAH ROSARIO
-----------------------------------------------------
Credential | BA., MS. ED.
-----------------------------------------------------
Telephone | 212-673-2429
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 252Y00000X
-----------------------------------------------------
Taxonomy Name | Early Intervention Provider Agency
-----------------------------------------------------
License Number | 879586981
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------