MEDICARE: TINY TRIUMPHS LLC

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
1	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1144017930
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TINY TRIUMPHS LLC

Provider Business Mailing Address
First Line	:	75 OXFORD ST
Second Line	:
City	:	ROSLYN HEIGHTS
State	:	NY
Zip	:	11577-2445
Country	:	US
Telephone Number	:	718-909-9740
Fax Number	:

Provider Business Practice Location Address
First Line	:	75 OXFORD ST
Second Line	:
City	:	ROSLYN HEIGHTS
State	:	NY
Zip	:	11577-2445
Country	:	US
Telephone Number	:	718-909-9740
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MILENA PINKHASOVA
Credential	:
Telephone Number	:	718-909-9740

Provider Enumeration Date	:	04/23/2025
Last Update Date	:	04/24/2025

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Directions to “TINY TRIUMPHS LLC ” Practice Location

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