Provider Demographics
NPI:1174981146
Name:WE BLOSSOM, INC.
Entity type:Organization
Organization Name:WE BLOSSOM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:PASS
Authorized Official - Suffix:
Authorized Official - Credentials:SPECIAL EDUCATOR
Authorized Official - Phone:914-610-5939
Mailing Address - Street 1:33 ANN ST
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-3209
Mailing Address - Country:US
Mailing Address - Phone:914-610-5939
Mailing Address - Fax:914-923-5636
Practice Address - Street 1:33 ANN ST
Practice Address - Street 2:
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-3209
Practice Address - Country:US
Practice Address - Phone:914-610-5939
Practice Address - Fax:914-923-5636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-05
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency