# VICKY'S KIDS

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

## Provider details

- **NPI number:** 1588928279
- **Authorized official:** VICTORIA JOHANET (OWNER)
- **Authorized official phone:** (845) 325-3190

## Contact information

- **Practice address:** 23 WEBB FARM RD, MONROE, NY 10950-5640
- **Practice address phone:** (845) 325-3190
- **Mailing address:** 23 WEBB FARM RD, MONROE, NY 10950-5640
- **Mailing address phone:** (845) 325-3190

## Taxonomy

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

## Other

- **Enumeration date:** 06/27/2012
- **Last updated:** 06/27/2012