Provider Demographics
NPI:1043620404
Name:TOTS2GO
Entity type:Organization
Organization Name:TOTS2GO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:ENA
Authorized Official - Middle Name:E
Authorized Official - Last Name:VELASQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:347-653-4623
Mailing Address - Street 1:1879 HENRY ST
Mailing Address - Street 2:
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-5805
Mailing Address - Country:US
Mailing Address - Phone:347-653-4623
Mailing Address - Fax:
Practice Address - Street 1:1879 HENRY ST
Practice Address - Street 2:
Practice Address - City:RAHWAY
Practice Address - State:NJ
Practice Address - Zip Code:07065-5805
Practice Address - Country:US
Practice Address - Phone:347-653-4623
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-06
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency