Provider Demographics
NPI:1194408187
Name:SMART KIDS NY INC.
Entity type:Organization
Organization Name:SMART KIDS NY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:SIRUSH
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAAMYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-206-5733
Mailing Address - Street 1:37 CORSA ST
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-6626
Mailing Address - Country:US
Mailing Address - Phone:347-206-5733
Mailing Address - Fax:
Practice Address - Street 1:37 CORSA ST
Practice Address - Street 2:
Practice Address - City:DIX HILLS
Practice Address - State:NY
Practice Address - Zip Code:11746-6626
Practice Address - Country:US
Practice Address - Phone:347-206-5733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty