Organization
DYNAMIC KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTA LEVY OT (OWNER)
(914) 428-5151
Entity
Organization
Contact information
Practice address
210 N CENTRAL AVE # 340A, HARTSDALE, NY 10530-1911
(914) 428-5151
Mailing address
6 CRESTVIEW AVE, CORTLANDT MANOR, NY 10567-5106
(914) 588-0107
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
P00502
NY
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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