Organization
LITTLE TWEEDLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOEL GROSS (OWNER)
(718) 930-0698
Entity
Organization
Contact information
Practice address
199 SKILLMAN ST APT 1L, BROOKLYN, NY 11205-4510
(718) 930-0698
Mailing address
199 SKILLMAN ST APT 1L, BROOKLYN, NY 11205-4510
(718) 930-0698
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
886695736
—
NY
Enumeration date
03/02/2023
Last updated
03/02/2023
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