| Prospect Kids, Llc | |
|
2102 Avenue Z Suite 304 Brooklyn NY 11235-2812 | |
| (718) 351-6248 | |
| Not Available |
| Full Name | Prospect Kids, Llc |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 2102 Avenue Z, Brooklyn, New York |
| Authorized Official Name and Position | Aleksandr Tolmach (CEO) |
| Authorized Official Contact | 3479213250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prospect Kids, Llc 2102 Avenue Z Suite 304 Brooklyn NY 11235-2812 Ph: (347) 921-3250 | Prospect Kids, Llc 2102 Avenue Z Suite 304 Brooklyn NY 11235-2812 Ph: (718) 351-6248 |
| NPI Number | 1124489638 |
|---|---|
| Provider Enumeration Date | 03/10/2016 |
| Last Update Date | 05/23/2023 |
| Certification Date | 05/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124489638 | NPI | - | NPPES |
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