Healthcare Provider Details

I. General information

NPI: 1972984557
Provider Name (Legal Business Name): A TO Z CHILD DEVELOPMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2015
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24902 JERICHO TPKE STE 207
FLORAL PARK NY
11001-4000
US

IV. Provider business mailing address

24902 JERICHO TPKE STE 207
FLORAL PARK NY
11001-4000
US

V. Phone/Fax

Practice location:
  • Phone: 646-522-5450
  • Fax: 718-889-7400
Mailing address:
  • Phone: 646-522-5450
  • 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: MS. TATYANA KHODIK
Title or Position: OWNER
Credential: MS, OTR/L
Phone: 646-522-5450