MEDICARE: TS KIDS, INC

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	174400000X	Specialist

General Provider Information

NPI Number	:	1215623293
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TS KIDS, INC

Provider Business Mailing Address
First Line	:	2709 MILL AVE FL 1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-6421
Country	:	US
Telephone Number	:	917-362-8444
Fax Number	:

Provider Business Practice Location Address
First Line	:	2709 MILL AVE FL 1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-6421
Country	:	US
Telephone Number	:	917-362-8444
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MISS TATYANA SHIFMAN
Credential	:	MS.SP. ED
Telephone Number	:	917-362-8444

Provider Enumeration Date	:	04/13/2023
Last Update Date	:	04/13/2023

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