Organization
KCP VENTURES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN POLIDORI MS SPED (PRESIDENT)
(917) 797-3573
Entity
Organization
Contact information
Practice address
297 DUTCHMANS POINT RD, MANTOLOKING, NJ 08738-1009
(917) 797-3573
Mailing address
297 DUTCHMANS POINT RD, MANTOLOKING, NJ 08738-1009
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
CERTIFIED
NY
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
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