Healthcare Provider Details

I. General information

NPI: 1265396519
Provider Name (Legal Business Name): L&D SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 OCEANA DR E APT 5F
BROOKLYN NY
11235-6697
US

IV. Provider business mailing address

125 OCEANA DR E APT 5F
BROOKLYN NY
11235-6697
US

V. Phone/Fax

Practice location:
  • Phone: 917-500-0729
  • Fax:
Mailing address:
  • Phone: 917-500-0729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: YULIYA KHODOS
Title or Position: CEO
Credential: MSED
Phone: 917-500-0729