Provider Demographics
NPI:1144626839
Name:EDUCATION AND ASSISTANCE CORPORATION
Entity type:Organization
Organization Name:EDUCATION AND ASSISTANCE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CECILY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARAMIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R CASAC
Authorized Official - Phone:516-486-3222
Mailing Address - Street 1:175 FULTON AVE
Mailing Address - Street 2:403
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-3718
Mailing Address - Country:US
Mailing Address - Phone:516-486-3222
Mailing Address - Fax:516-486-8956
Practice Address - Street 1:175 FULTON AVE
Practice Address - Street 2:403
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-3718
Practice Address - Country:US
Practice Address - Phone:516-486-3222
Practice Address - Fax:516-486-8956
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EDUCATION AND ASSISTANCE CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-11-07
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY11342101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty