Provider Demographics
NPI:1225389869
Name:CHILDREN'S CORNER DAYCARE
Entity Type:Organization
Organization Name:CHILDREN'S CORNER DAYCARE
Other - Org Name:CHILDREN'S CORNER THERAPY
Other - Org Type:Other Name
Authorized Official - Title/Position:HEAD ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SETH
Authorized Official - Middle Name:L
Authorized Official - Last Name:ZUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-358-8926
Mailing Address - Street 1:17319 69TH AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11365-3403
Mailing Address - Country:US
Mailing Address - Phone:718-358-8926
Mailing Address - Fax:718-358-8926
Practice Address - Street 1:17319 69TH AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11365-3403
Practice Address - Country:US
Practice Address - Phone:718-358-8926
Practice Address - Fax:718-358-8926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-22
Last Update Date:2012-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012970225100000X
NY016494225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty