Selena Grad Corp

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

SELENA GRAD CORP

Practice address

2222 E 26TH St
Brooklyn, NY 11229-4942

Phone

(917) 969-4510

NPI assigned

Aug 8, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sam Gorohovsky

Title

Owner

Phone

(917) 969-4510

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470614400000",
    "number": "1528512589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 E 26TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294942",
            "telephone_number": "917-969-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 E 26TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294942",
            "telephone_number": "917-969-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELENA GRAD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-08",
        "last_updated": "2016-08-08",
        "status": "A",
        "authorized_official_last_name": "GOROHOVSKY",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-969-4510"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Steven Selas, M.D.
• Marcus Selassie
• Tiffany Goodson Selby
• Daryll Ana Hill Selden, DDS
• Elizabeth Seldin
• Daniel Selengut
• Mindy Selengut
• Sara Selengut, MS BCBA LBA
• Alexandra Seletti, LCSW
• Natalia Selezneva, NP

• Early Intervention Provider Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.