Organization
JUST FOR KICKS SWIMMING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE HACKSHAW (EXECUTIVE DIRECTOR)
(914) 522-8849
Entity
Organization
Contact information
Practice address
411 E 10TH ST, NEW YORK, NY 10009-4227
(914) 522-8849
Mailing address
411 E 10TH ST, NEW YORK, NY 10009-4227
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
NY
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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