1164784633 NPI number — SHREE RAJ SERVICES INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164784633 NPI number — SHREE RAJ SERVICES INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SHREE RAJ SERVICES INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164784633
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/11/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2417 JERICHO TPKE
Provider Second Line Business Mailing Address:
#387
Provider Business Mailing Address City Name:
GARDEN CITY PARK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11040-4710
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
646-696-6129
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2417 JERICHO TPKE
Provider Second Line Business Practice Location Address:
#387
Provider Business Practice Location Address City Name:
GARDEN CITY PARK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11040-4710
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
646-696-6129
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/11/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
PATEL
Authorized Official First Name:
RASHMIKA
Authorized Official Middle Name:
Authorized Official Title or Position:
SPECIAL EDUCATION PROVIDER
Authorized Official Telephone Number:
646-696-6129

Provider Taxonomy Codes

  • Taxonomy code: 252Y00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)