# CLEVER KIDS CORP

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

## Provider details

- **NPI number:** 1346730082
- **Authorized official:** MARINA KHASIDO MILLER MS (CEO)
- **Authorized official phone:** (646) 479-5509

## Contact information

- **Practice address:** 1073 ROSELLE PL, WOODMERE, NY 11598-1116
- **Practice address phone:** (646) 479-5509
- **Mailing address:** 1150 BRIGHTON BEACH AVE APT 2U, BROOKLYN, NY 11235-5950
- **Mailing address phone:** (646) 479-5509

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 885776 | NY | Yes |

## Other

- **Enumeration date:** 05/17/2018
- **Last updated:** 02/28/2024