MEDICARE: SMILE AND LEARN 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	:	1588509152
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMILE AND LEARN LLC

Provider Business Mailing Address
First Line	:	59 ELWOOD AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-6020
Country	:	US
Telephone Number	:	917-969-3814
Fax Number	:

Provider Business Practice Location Address
First Line	:	59 ELWOOD AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-6020
Country	:	US
Telephone Number	:	917-969-3814
Fax Number	:

Authorized Official
Title or Position	:	ORGANIZER/OFFICER
Name	:	MRS. IRINA BRAYLOVSKY
Credential	:
Telephone Number	:	917-969-3814

Provider Enumeration Date	:	04/21/2026
Last Update Date	:	04/21/2026

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Directions to “SMILE AND LEARN LLC ” Practice Location

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