Healthcare Provider Details

I. General information

NPI: 1942803978
Provider Name (Legal Business Name): ARTICAID INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2020
Last Update Date: 11/20/2020
Certification Date: 11/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1730 E 14TH ST APT 2N
BROOKLYN NY
11229-2053
US

IV. Provider business mailing address

1730 E 14TH ST APT 2N
BROOKLYN NY
11229-2053
US

V. Phone/Fax

Practice location:
  • Phone: 718-288-3391
  • Fax:
Mailing address:
  • Phone: 718-288-3391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: OLGA KRIVICH
Title or Position: INCORPORATOR
Credential:
Phone: 718-288-3391