Organization
LEGACY KIDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS RACHEL PAGONA MSED (CEO)
(516) 317-9284
Entity
Organization
Contact information
Practice address
34 SILO LN, LEVITTOWN, NY 11756-3834
(516) 317-9284
Mailing address
34 SILO LN, LEVITTOWN, NY 11756-3834
(516) 317-9284
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
978192
NY
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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