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NPI Code Detail

MEDICARE: LITTLE L.A.M.B. PRESCHOOL

MEDICARE: LITTLE L.A.M.B. PRESCHOOL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251300000XLocal Education Agency (LEA)6114NY

General Provider Information

NPI Number : 1043520786
Entity Type Code : Organization
Provider Name (Legal Business Name) : LITTLE L.A.M.B. PRESCHOOL
Provider Business Mailing Address
First Line : 2 GRIDLEY AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10303-2204
Country : US
Telephone Number : 718-448-7774
Fax Number : 718-488-8196
Provider Business Practice Location Address
First Line : 2 GRIDLEY AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10303-2204
Country : US
Telephone Number : 718-448-7774
Fax Number : 718-488-8196
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : DR. PATRICIA POLOVY
Credential : PH.D.
Telephone Number : 718-448-7774
Provider Enumeration Date : 10/15/2010
Last Update Date : 10/15/2010

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Directions to “LITTLE L.A.M.B. PRESCHOOL ” Practice Location

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