Healthcare Provider Details

I. General information

NPI: 1467715045
Provider Name (Legal Business Name): CUDDLES FOR TOTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2012
Last Update Date: 06/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 FLATBUSH AVE #340395
BROOKLYN NY
11234-4500
US

IV. Provider business mailing address

PO BOX 340395
BROOKLYN NY
11234-0395
US

V. Phone/Fax

Practice location:
  • Phone: 718-216-7287
  • Fax:
Mailing address:
  • Phone: 718-216-7287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: MS. LEOLA FRANKLIN
Title or Position: SPECIAL EDUCATION TEACHER
Credential: MS.ED
Phone: 718-216-7287