Little Masters Development Center LLC
Early Intervention Provider Agency in Kew Gardens, NY. Organization (NPI-2).
NPI number1982467767
StatusActive
Last updated in NPPESFeb 5, 2024
Details
- NPI
- 1982467767
- Entity type
- Organization (NPI-2)
- Legal business name
- Little Masters Development Center LLC
- Organization subpart
- No
- Enumeration date
- Feb 5, 2024
- Certification date
- Feb 2, 2024
- Last updated
- Feb 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | – | Yes |
Practice location
8403 Cuthbert Rd Apt 1aKew Gardens, NY 11415-2125
Phone 347-454-9082 · Fax 347-309-5055
Mailing address
8403 Cuthbert Rd Apt 1aKew Gardens, NY 11415-2125
Phone 347-454-9082 · Fax 347-309-5055
Authorized official
Radion Medvedovskiy
Owner
7187551408
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