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NPI Code Detail

MEDICARE: CONFIDENT KIDZ

MEDICARE: CONFIDENT KIDZ
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
1225X00000XOccupational Therapist
2261QP2000XPhysical Therapy Clinic/Center025077NY

General Provider Information

NPI Number : 1306354527
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONFIDENT KIDZ
Provider Business Mailing Address
First Line : 15801 CROSSBAY BLVD
Second Line :
City : HOWARD BEACH
State : NY
Zip : 11414-3140
Country : US
Telephone Number : 347-754-7541
Fax Number :
Provider Business Practice Location Address
First Line : 15801 CROSSBAY BLVD
Second Line :
City : HOWARD BEACH
State : NY
Zip : 11414-3140
Country : US
Telephone Number : 347-754-7541
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MRS. HEATHER MARIE COOK
Credential : MSPT
Telephone Number : 347-754-7541
Provider Enumeration Date : 01/22/2018
Last Update Date : 04/30/2021

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Directions to “CONFIDENT KIDZ ” Practice Location

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