Organization
CLEVER KIDS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA KHASIDO MILLER MS (CEO)
(646) 479-5509
Entity
Organization
Contact information
Practice address
1073 ROSELLE PL, WOODMERE, NY 11598-1116
(646) 479-5509
Mailing address
1150 BRIGHTON BEACH AVE APT 2U, BROOKLYN, NY 11235-5950
(646) 479-5509
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
885776
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386197911
—
NY
Enumeration date
05/17/2018
Last updated
02/28/2024
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