Healthcare Provider Details

I. General information

NPI: 1861137291
Provider Name (Legal Business Name): V&Z KIDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2022
Last Update Date: 04/29/2022
Certification Date: 04/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2242 E 28TH ST
BROOKLYN NY
11229-5058
US

IV. Provider business mailing address

2242 E 28TH ST
BROOKLYN NY
11229-5058
US

V. Phone/Fax

Practice location:
  • Phone: 347-593-7956
  • Fax:
Mailing address:
  • Phone: 347-593-7956
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: ZARRINA KHAFIZOVA
Title or Position: PRESIDENT
Credential:
Phone: 347-593-7956