MEDICARE: ASPIRING MUNCHKINS, 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	801867131	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467832279
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASPIRING MUNCHKINS, LLC

Provider Business Mailing Address
First Line	:	240 WHITMAN DRIVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234
Country	:	US
Telephone Number	:	212-226-7965
Fax Number	:	212-334-1369

Provider Business Practice Location Address
First Line	:	240 WHITMAN DRIVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234
Country	:	US
Telephone Number	:	212-226-7965
Fax Number	:	212-334-1369

Authorized Official
Title or Position	:	PROGRAM DIRECTOR/OWNER
Name	:	JENNY LEYBOVICH
Credential	:
Telephone Number	:	212-226-7965

Provider Enumeration Date	:	06/06/2015
Last Update Date	:	02/19/2026

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