1679877914 NPI number — DR. DOROTHY NOVOGRODSKY ED. D. BCBA-D

Table of content: DR. DOROTHY NOVOGRODSKY ED. D. BCBA-D (NPI 1679877914)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679877914 NPI number — DR. DOROTHY NOVOGRODSKY ED. D. BCBA-D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NOVOGRODSKY
Provider First Name:
DOROTHY
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
ED. D. BCBA-D
Provider Gender Code:
F

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:
1679877914
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/18/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 153
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WOODRIDGE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12789-0153
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-798-6502
Provider Business Mailing Address Fax Number:
845-434-1077

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
223 DAIRYLAND RD.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WOODRIDGE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12789-0153
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-798-6502
Provider Business Practice Location Address Fax Number:
845-434-1077
Provider Enumeration Date:
12/30/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X , with the licence number:  1-08-4711 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 174400000X , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 1-08-4711 . This is a "BCBA-D" identifier . This identifiers is of the category "OTHER".