Organization
TATYANA'S KIDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATYANA MISHIN MS (SP. ED. TEACHER)
(347) 341-3104
Entity
Organization
Contact information
Practice address
47 TANAGER CT, WAYNE, NJ 07470-8435
(347) 341-3104
Mailing address
47 TANAGER CT, WAYNE, NJ 07470-8435
(347) 341-3104
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
541801111
NY
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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