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Organization

LITTLE MAGICIANS DAYCARE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MIKYEONG KIM (DIRECTOR)
(718) 541-0408
Entity
Organization

Contact information

Practice address
8402 60TH AVE, MIDDLE VILLAGE, NY 11379-5428
(718) 541-0408
Mailing address
8402 60TH AVE, MIDDLE VILLAGE, NY 11379-5428

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
252Y00000X
Early Intervention Provider Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04093454
NY
Enumeration date
02/26/2020
Last updated
02/26/2020
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