Provider Demographics
NPI: | 1083987341 |
---|---|
Name: | ALL ABOUT KIDS, SLP, OT, PT, LMSW, PSYCHOLOGY, P.L.L.C. |
Entity type: | Organization |
Organization Name: | ALL ABOUT KIDS, SLP, OT, PT, LMSW, PSYCHOLOGY, P.L.L.C. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | EXECUTIVE DIRECTOR |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | CATHLEEN |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | GROSSFELD |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MA CCC/SLP |
Authorized Official - Phone: | 516-576-2040 |
Mailing Address - Street 1: | 255 EXECUTIVE DR |
Mailing Address - Street 2: | |
Mailing Address - City: | PLAINVIEW |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 11803-1718 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 516-576-2040 |
Mailing Address - Fax: | 516-349-0961 |
Practice Address - Street 1: | 255 EXECUTIVE DR |
Practice Address - Street 2: | |
Practice Address - City: | PLAINVIEW |
Practice Address - State: | NY |
Practice Address - Zip Code: | 11803-1718 |
Practice Address - Country: | US |
Practice Address - Phone: | 516-576-2040 |
Practice Address - Fax: | 516-349-0961 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2012-02-17 |
Last Update Date: | 2012-02-17 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251C00000X | Agencies | Day Training, Developmentally Disabled Services |