Organization
MY1TEACHER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TATYANA ESTERKINA MS SP ED (SI/ABA PROVIDER)
(718) 614-0702
Entity
Organization
Contact information
Practice address
1737 E 17TH ST, BROOKLYN, NY 11229-2101
(718) 614-0702
Mailing address
1737 E 17TH ST, BROOKLYN, NY 11229-2101
(718) 614-0702
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659702462
EARLY INTERVENTION PROVIDER
—
Enumeration date
03/15/2018
Last updated
03/20/2018
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