MEDICARE: TOTS EARLY LEARNING 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	:	1962159830
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTS EARLY LEARNING LLC

Provider Business Mailing Address
First Line	:	4181 LACONIA AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10466-4912
Country	:	US
Telephone Number	:	347-821-1651
Fax Number	:

Provider Business Practice Location Address
First Line	:	4181 LACONIA AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10466-4912
Country	:	US
Telephone Number	:	347-821-1651
Fax Number	:

Authorized Official
Title or Position	:	EDUCATIONAL SPECIALIST
Name	:	MS. RENEE BECKETT WOODS
Credential	:	M
Telephone Number	:	347-821-1651

Provider Enumeration Date	:	03/09/2022
Last Update Date	:	03/09/2022

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