Provider Demographics
NPI:1730632779
Name:HARRIET CHERVON DUFFY, INC.
Entity type:Organization
Organization Name:HARRIET CHERVON DUFFY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:HARRIET
Authorized Official - Middle Name:CHERVON
Authorized Official - Last Name:DUFFY
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:917-847-3593
Mailing Address - Street 1:25254 60TH AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLE NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11362-2441
Mailing Address - Country:US
Mailing Address - Phone:917-847-3593
Mailing Address - Fax:718-279-4668
Practice Address - Street 1:25254 60TH AVE
Practice Address - Street 2:
Practice Address - City:LITTLE NECK
Practice Address - State:NY
Practice Address - Zip Code:11362
Practice Address - Country:US
Practice Address - Phone:917-847-3593
Practice Address - Fax:718-279-4668
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HARRIET CHERVON DUFFY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-07-26
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006811252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency