MEDICARE: MEGA KIDS CORP

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	:	1992431662
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEGA KIDS CORP

Provider Business Mailing Address
First Line	:	425 NEPTUNE AVE APT 16E
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-4580
Country	:	US
Telephone Number	:	917-913-4118
Fax Number	:

Provider Business Practice Location Address
First Line	:	425 NEPTUNE AVE APT 16E
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-4580
Country	:	US
Telephone Number	:	917-913-4118
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	INNA FAINBAIN
Credential	:
Telephone Number	:	917-913-4118

Provider Enumeration Date	:	07/26/2022
Last Update Date	:	07/26/2022

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Directions to “MEGA KIDS CORP ” Practice Location

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