Healthcare Provider Details

I. General information

NPI: 1205297009
Provider Name (Legal Business Name): BIG N LITTLE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2016
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 E 14TH ST
BROOKLYN NY
11230-2978
US

IV. Provider business mailing address

1326 E 10TH ST
BROOKLYN NY
11230-5754
US

V. Phone/Fax

Practice location:
  • Phone: 732-759-0715
  • Fax:
Mailing address:
  • Phone: 718-787-1160
  • Fax: 718-307-6406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number1326372202
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number019884-1
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number1336473891
License Number StateNY

VIII. Authorized Official

Name: MOSHE KANNER
Title or Position: OWNER
Credential:
Phone: 718-787-1160