MEDICARE: ALMIGHTY KIDS EARLY INTERVENTION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1174491021
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALMIGHTY KIDS EARLY INTERVENTION LLC

Provider Business Mailing Address
First Line	:	3011 ASTORIA BLVD APT 24
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11102-1723
Country	:	US
Telephone Number	:	718-310-0949
Fax Number	:

Provider Business Practice Location Address
First Line	:	3011 ASTORIA BLVD APT 24
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11102-1723
Country	:	US
Telephone Number	:	718-310-0949
Fax Number	:

Authorized Official
Title or Position	:	QUALITY ASSURANCE
Name	:	SARA B ACOSTA
Credential	:
Telephone Number	:	718-310-0949

Provider Enumeration Date	:	10/23/2025
Last Update Date	:	10/23/2025

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