Healthcare Provider Details

I. General information

NPI: 1326359779
Provider Name (Legal Business Name): VILLAGE CHILD DEVELOPMENT CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2010
Last Update Date: 06/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 E 146TH ST
BRONX NY
10451-5702
US

IV. Provider business mailing address

350 E 146TH ST
BRONX NY
10451-5702
US

V. Phone/Fax

Practice location:
  • Phone: 718-585-4494
  • Fax:
Mailing address:
  • Phone: 718-585-4494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: MRS. MICHELE WEINBERG
Title or Position: EXECUTIVE DIRECTOR
Credential: R.N.
Phone: 718-585-4494