# THE KIDZ LOUNGE RELATED SERVICES LLC

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

## Provider details

- **NPI number:** 1205364437
- **Authorized official:** MRS. FRANGELICA LEO MS. CCC-SLP (SPEECH LANGUAGE PATHOLOGIST/PARTNER)
- **Authorized official phone:** (718) 848-0875

## Contact information

- **Practice address:** 15801 CROSSBAY BLVD, HOWARD BEACH, NY 11414-3140
- **Practice address phone:** (718) 848-0875
- **Practice address fax:** (718) 848-0876
- **Mailing address:** 15801 CROSSBAY BLVD, HOWARD BEACH, NY 11414-3140
- **Mailing address phone:** (718) 848-0875
- **Mailing address fax:** (718) 848-0876

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 025077-1 | NY | — |
| 235Z00000X | Speech-Language Pathologist | 020061-1 | NY | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/01/2017
- **Last updated:** 07/21/2022