MEDICARE: KIDS FIRST INTEGRATED HEALTH 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	132700000X	Dietary Manager
2	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1447107198
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIDS FIRST INTEGRATED HEALTH LLC

Provider Business Mailing Address
First Line	:	20 ROBERT PITT DR STE 201
Second Line	:
City	:	MONSEY
State	:	NY
Zip	:	10952-3340
Country	:	US
Telephone Number	:	845-425-2299
Fax Number	:	845-302-1687

Provider Business Practice Location Address
First Line	:	3082 VILLA AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10468-1370
Country	:	US
Telephone Number	:	845-425-2299
Fax Number	:	845-302-1687

Authorized Official
Title or Position	:	OWNER/ CEO
Name	:	SHRAGA GOLD
Credential	:
Telephone Number	:	845-425-2299

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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