Organization
ABC KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LESLIANN HAFORD (SPECIAL INSTRUCTION TEACHER)
(347) 733-2746
Entity
Organization
Contact information
Practice address
3175 E TREMONT AVE, BRONX, NY 10461-5700
(347) 733-2746
Mailing address
73 BERKLEY ST, VALLEY STREAM, NY 11581-1803
(347) 733-2746
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
838527
NY
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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