Provider Demographics
NPI:1083440713
Name:GILDA LOVE, TEACH, AUTISM
Entity type:Organization
Organization Name:GILDA LOVE, TEACH, AUTISM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIALIST/ SPECIAL ED TEACHER
Authorized Official - Prefix:
Authorized Official - First Name:GILDA
Authorized Official - Middle Name:
Authorized Official - Last Name:NARVAEZ-ACOSTA
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:646-387-0553
Mailing Address - Street 1:399 N BROADWAY APT 3N
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-2038
Mailing Address - Country:US
Mailing Address - Phone:646-387-0553
Mailing Address - Fax:
Practice Address - Street 1:399 N BROADWAY APT 3N
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-2038
Practice Address - Country:US
Practice Address - Phone:646-387-0553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty