# NOT JUST KIDS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013557065
- **Authorized official:** TRACY CO0LANGELO MS (PRESIDENT)
- **Authorized official phone:** (631) 300-6153

## Contact information

- **Practice address:** 689 NICOLLS RD, DEER PARK, NY 11729-2725
- **Practice address phone:** (631) 300-6153
- **Mailing address:** 689 NICOLLS RD, DEER PARK, NY 11729-2725
- **Mailing address phone:** (631) 300-6153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/07/2020
- **Last updated:** 01/07/2020