Organization
ALL ABOUT KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIELA PENA (COMPLIANCE COORDINATOR)
(516) 576-0962
Entity
Organization
Contact information
Practice address
255 EXECUTIVE DR, PLAINVIEW, NY 11803-1718
(516) 576-0962
Mailing address
130 CHESTER DR, YONKERS, NY 10710-1923
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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