Organization
ALL ABOUT KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIELA PENA (COMPLIANCE COORDINATOR)
(718) 522-7300
Entity
Organization
Contact information
Practice address
255 EXECUTIVE DR, PLAINVIEW, NY 11803-1718
(516) 576-0962
Mailing address
5 BRAKEMAN CT, HIGHTSTOWN, NJ 08520-3064
(609) 443-0028
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
884497991
NY
305R00000X
Preferred Provider Organization
884497991
NY
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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