Provider Demographics
NPI:1326370180
Name:S & C KIDS POWER INC
Entity Type:Organization
Organization Name:S & C KIDS POWER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCUUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CYRUS
Authorized Official - Middle Name:
Authorized Official - Last Name:DURING
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:212-348-0610
Mailing Address - Street 1:236 EAST 112TH STREET
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029
Mailing Address - Country:US
Mailing Address - Phone:212-348-0610
Mailing Address - Fax:212-348-0241
Practice Address - Street 1:236 E 112TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-2913
Practice Address - Country:US
Practice Address - Phone:212-348-0610
Practice Address - Fax:212-348-0241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-04
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013570-1302F00000X
NY030543-1302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization