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NPI Code Detail

MEDICARE: LL KIDZ SERVICES INC

MEDICARE: LL KIDZ SERVICES INC
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
1252Y00000XEarly Intervention Provider Agency

General Provider Information

NPI Number : 1942845060
Entity Type Code : Organization
Provider Name (Legal Business Name) : LL KIDZ SERVICES INC
Provider Business Mailing Address
First Line : 1310 PURITAN AVE
Second Line :
City : BRONX
State : NY
Zip : 10461-5923
Country : US
Telephone Number : 347-261-0461
Fax Number :
Provider Business Practice Location Address
First Line : 1310 PURITAN AVE
Second Line :
City : BRONX
State : NY
Zip : 10461-5923
Country : US
Telephone Number : 347-261-0461
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : GISELLE BOTE
Credential : OTR/L
Telephone Number : 347-261-0461
Provider Enumeration Date : 11/13/2019
Last Update Date : 11/13/2019

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Directions to “LL KIDZ SERVICES INC ” Practice Location

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