Provider Demographics
NPI:1346038007
Name:V.P. KID SERVICES INC.
Entity type:Organization
Organization Name:V.P. KID SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VLADISLAV
Authorized Official - Middle Name:
Authorized Official - Last Name:PRONIN
Authorized Official - Suffix:
Authorized Official - Credentials:MSSPED
Authorized Official - Phone:347-782-5060
Mailing Address - Street 1:25 REDLEAF LN
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-5508
Mailing Address - Country:US
Mailing Address - Phone:347-782-5060
Mailing Address - Fax:
Practice Address - Street 1:25 REDLEAF LN
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-5508
Practice Address - Country:US
Practice Address - Phone:347-782-5060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency