Provider Demographics
NPI:1730552308
Name:THE LEARNING AND ACHIEVEMENT CENTER
Entity type:Organization
Organization Name:THE LEARNING AND ACHIEVEMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:
Authorized Official - Last Name:GESTETNER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:845-782-2223
Mailing Address - Street 1:14 PRAG BLVD
Mailing Address - Street 2:UNIT 301
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-8474
Mailing Address - Country:US
Mailing Address - Phone:845-782-2223
Mailing Address - Fax:845-781-5837
Practice Address - Street 1:24 SATMAR DR
Practice Address - Street 2:SUITE 102
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-6041
Practice Address - Country:US
Practice Address - Phone:845-782-2223
Practice Address - Fax:845-781-5837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-04
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Multi-Specialty