Provider Demographics
NPI:1093289027
Name:DREAM KIDS INC.
Entity Type:Organization
Organization Name:DREAM KIDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:KAMILA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDUKADYROVA
Authorized Official - Suffix:
Authorized Official - Credentials:MSSPED
Authorized Official - Phone:718-666-5443
Mailing Address - Street 1:350 65TH ST APT 15K
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-4964
Mailing Address - Country:US
Mailing Address - Phone:718-666-5443
Mailing Address - Fax:
Practice Address - Street 1:350 65TH ST APT 15K
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-4964
Practice Address - Country:US
Practice Address - Phone:718-666-5443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-12
Last Update Date:2019-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency