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NPI Code Detail

MEDICARE: THE KIDZ LOUNGE RELATED SERVICES LLC

MEDICARE: THE KIDZ LOUNGE RELATED SERVICES 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
1225100000XPhysical Therapist025077-1NY
2235Z00000XSpeech-Language Pathologist020061-1NY
3251B00000XCase Management Agency
4252Y00000XEarly Intervention Provider Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205364437
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE KIDZ LOUNGE RELATED SERVICES LLC
Provider Business Mailing Address
First Line : 15801 CROSSBAY BLVD
Second Line :
City : HOWARD BEACH
State : NY
Zip : 11414-3140
Country : US
Telephone Number : 718-848-0875
Fax Number : 718-848-0876
Provider Business Practice Location Address
First Line : 15801 CROSSBAY BLVD
Second Line :
City : HOWARD BEACH
State : NY
Zip : 11414-3140
Country : US
Telephone Number : 718-848-0875
Fax Number : 718-848-0876
Authorized Official
Title or Position : SPEECH LANGUAGE PATHOLOGIST/PARTNER
Name : MRS. FRANGELICA LEO
Credential : MS. CCC-SLP
Telephone Number : 718-848-0875
Provider Enumeration Date : 06/01/2017
Last Update Date : 07/21/2022

Similar Medicare Providers

1033422076 — MRS. FRANGELICA N LEO M.S., CCC-SLP
Practice Location Address:
15801 CROSSBAY BLVD
HOWARD BEACH, NY
11414-3140
Practice Phone: 347-593-8255
Practice Fax: 855-592-6874
1902316698 — MARIA ROSE PIAZZA
Practice Location Address:
15801 CROSSBAY BLVD
HOWARD BEACH, NY
11414-3140
Practice Phone: 718-848-0875
Practice Fax:
1225543721 — THE LANGUAGE LOUNGE LLC
Practice Location Address:
15801 CROSSBAY BLVD
HOWARD BEACH, NY
11414-3140
Practice Phone: 347-593-8255
Practice Fax: 855-592-6874
1306354527 — CONFIDENT KIDZ
Practice Location Address:
15801 CROSSBAY BLVD
HOWARD BEACH, NY
11414-3140
Practice Phone: 347-754-7541
Practice Fax:
1831751502 — GENELLE-LEE MARGUERITE MARUCA
Practice Location Address:
15801 CROSSBAY BLVD
HOWARD BEACH, NY
11414-3140
Practice Phone: 718-848-0875
Practice Fax:
1093377632 — KASEY ANN ROBERTSON
Practice Location Address:
15801 CROSSBAY BLVD
HOWARD BEACH, NY
11414-3140
Practice Phone: 718-848-0875
Practice Fax:

Directions to “THE KIDZ LOUNGE RELATED SERVICES LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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