Provider Demographics
NPI:1124665112
Name:GET AHEAD WITH MK
Entity type:Organization
Organization Name:GET AHEAD WITH MK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MANI
Authorized Official - Middle Name:
Authorized Official - Last Name:KATANOV
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:718-635-2404
Mailing Address - Street 1:7525 153RD ST APT 340
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-3099
Mailing Address - Country:US
Mailing Address - Phone:718-415-3064
Mailing Address - Fax:
Practice Address - Street 1:24902 JERICHO TPKE STE 207
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-4000
Practice Address - Country:US
Practice Address - Phone:718-635-2404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-09
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty