# MK EARLY DEVELOPMENT INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1619366242
- **Authorized official:** MS. MARINA KHOLDAROVA MS (CEO)
- **Authorized official phone:** (646) 327-5031

## Contact information

- **Practice address:** 7527 194TH ST, FRESH MEADOWS, NY 11366-1837
- **Practice address phone:** (646) 327-5031
- **Mailing address:** 7527 194TH ST, FRESH MEADOWS, NY 11366-1837
- **Mailing address phone:** (646) 327-5031

## Taxonomy

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

## Other

- **Enumeration date:** 01/20/2015
- **Last updated:** 01/20/2015
