Healthcare Provider Details

I. General information

NPI: 1093624736
Provider Name (Legal Business Name): TOTS OF NEW YORK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25021 NORTHERN BLVD
LITTLE NECK NY
11362-1353
US

IV. Provider business mailing address

25021 NORTHERN BLVD LOWR LEVEL
LITTLE NECK NY
11362-1353
US

V. Phone/Fax

Practice location:
  • Phone: 631-827-9189
  • Fax:
Mailing address:
  • Phone: 631-827-9189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: ASHLEY PATRICK
Title or Position: OWNER
Credential: MAMSMED BCBA LBA IBA
Phone: 631-827-9189