Healthcare Provider Details

I. General information

NPI: 1326960402
Provider Name (Legal Business Name): LITTLE MUNCHKINS EARLY INTERVENTION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 VIOLA RD
SUFFERN NY
10901-3207
US

IV. Provider business mailing address

30 VIOLA RD
SUFFERN NY
10901-3207
US

V. Phone/Fax

Practice location:
  • Phone: 718-809-5852
  • Fax: 718-301-9501
Mailing address:
  • Phone:
  • Fax: 718-301-9501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: RIFKY MEHREL
Title or Position: OWNER
Credential: MASTERS DEGREE IN ED
Phone: 718-809-5852