Provider Demographics
NPI:1033803234
Name:ASD KIDS INC.
Entity Type:Organization
Organization Name:ASD KIDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MS ED
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:IRGANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-603-7578
Mailing Address - Street 1:31 FRANK CT
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-6408
Mailing Address - Country:US
Mailing Address - Phone:646-603-7578
Mailing Address - Fax:
Practice Address - Street 1:31 FRANK CT
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-6408
Practice Address - Country:US
Practice Address - Phone:646-603-7578
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency