Provider Demographics
NPI:1215623293
Name:TS KIDS, INC
Entity type:Organization
Organization Name:TS KIDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:TATYANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSSP ED
Authorized Official - Phone:917-362-8444
Mailing Address - Street 1:2709 MILL AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-6421
Mailing Address - Country:US
Mailing Address - Phone:917-362-8444
Mailing Address - Fax:
Practice Address - Street 1:2709 MILL AVE FL 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-6421
Practice Address - Country:US
Practice Address - Phone:917-362-8444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty