Provider Demographics
NPI:1871399832
Name:POWELL, EUGENIA (SPECIAL EDUCATOR)
Entity type:Individual
Prefix:
First Name:EUGENIA
Middle Name:
Last Name:POWELL
Suffix:
Gender:
Credentials:SPECIAL EDUCATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2770 W 33RD ST APT 524
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-5028
Mailing Address - Country:US
Mailing Address - Phone:718-200-5753
Mailing Address - Fax:
Practice Address - Street 1:2770 W 33RD ST APT 524
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-5028
Practice Address - Country:US
Practice Address - Phone:718-200-5753
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1868742241174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist