Provider Demographics
NPI:1134501505
Name:KINGSCROSS CHILDREN THERAPY AND AUTISM SERVICES
Entity Type:Organization
Organization Name:KINGSCROSS CHILDREN THERAPY AND AUTISM SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:DABIRA
Authorized Official - Last Name:OSAFEHINTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-819-9583
Mailing Address - Street 1:3251 3RD AVENUE 3RD FLOOR
Mailing Address - Street 2:SUITE 302B
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456
Mailing Address - Country:US
Mailing Address - Phone:646-937-4559
Mailing Address - Fax:718-708-6044
Practice Address - Street 1:3251 3RD AVENUE 3RD FLOOR
Practice Address - Street 2:SUITE 302B
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456
Practice Address - Country:US
Practice Address - Phone:646-937-4559
Practice Address - Fax:718-708-6044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY897553252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency