Organization
KIDS CLUB LEO CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ALENA TROTSKAYA MS.ED (SPECIAL EDUCATION TEACHER)
(646) 269-0287
Entity
Organization
Contact information
Practice address
2427 GERRITSEN AVE FL 2, BROOKLYN, NY 11229-5903
(646) 269-0287
Mailing address
2427 GERRITSEN AVE FL 2, BROOKLYN, NY 11229-5903
(646) 269-0287
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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