Organization
TKR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA MIKOLANDA MS SP ED (OWNER)
(631) 662-6156
Entity
Organization
Contact information
Practice address
8 GRASSY POND DR, SMITHTOWN, NY 11787-4028
(631) 662-6156
Mailing address
8 GRASSY POND DR, SMITHTOWN, NY 11787-4028
(631) 662-6156
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093077745
NPPES
NY
Enumeration date
06/13/2019
Last updated
06/13/2019
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