Provider Demographics
NPI:1386432870
Name:CREATIVE ART & INK CORP
Entity type:Organization
Organization Name:CREATIVE ART & INK CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:YULIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEBOLSINA
Authorized Official - Suffix:
Authorized Official - Credentials:MS SP ED
Authorized Official - Phone:347-615-2500
Mailing Address - Street 1:20 ASHLEY LN
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10309-4292
Mailing Address - Country:US
Mailing Address - Phone:929-418-5403
Mailing Address - Fax:
Practice Address - Street 1:20 ASHLEY LN
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10309-4292
Practice Address - Country:US
Practice Address - Phone:929-418-5403
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-25
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty