Provider Demographics
NPI:1306091681
Name:CARMEN ANDINO INC.
Entity type:Organization
Organization Name:CARMEN ANDINO INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILINGUAL/SPECIAL EDUCATION TEACHER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:MILAGROS
Authorized Official - Last Name:ANDINO
Authorized Official - Suffix:
Authorized Official - Credentials:MSSED
Authorized Official - Phone:845-325-6348
Mailing Address - Street 1:300 BLACK MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10918-2227
Mailing Address - Country:US
Mailing Address - Phone:845-325-6348
Mailing Address - Fax:845-610-3803
Practice Address - Street 1:300 BLACK MEADOW RD
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:NY
Practice Address - Zip Code:10918-2227
Practice Address - Country:US
Practice Address - Phone:845-325-6348
Practice Address - Fax:845-610-3803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-30
Last Update Date:2008-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY124609107252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency