| Kid Success, Inc. | |
|
2950 Hempstead Tpke Levittown NY 11756-1383 | |
| (516) 796-0989 | |
| Not Available |
| Full Name | Kid Success, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2950 Hempstead Tpke, Levittown, New York |
| Authorized Official Name and Position | Lisa La Fata (DIRECTOR) |
| Authorized Official Contact | 5167960989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kid Success, Inc. 2950 Hempstead Tpke Levittown NY 11756-1383 Ph: (516) 796-0989 | Kid Success, Inc. 2950 Hempstead Tpke Levittown NY 11756-1383 Ph: (516) 796-0989 |
| NPI Number | 1871841445 |
|---|---|
| Provider Enumeration Date | 08/29/2012 |
| Last Update Date | 08/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871841445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1-12-11976 (Florida) | Primary |
| 251S00000X | Community/behavioral Health | 740983 (New York) | Secondary |
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