Provider Demographics
NPI:1326431313
Name:KISFORKIDZ INC.
Entity Type:Organization
Organization Name:KISFORKIDZ INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KIRSY
Authorized Official - Middle Name:
Authorized Official - Last Name:JACOBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-647-4137
Mailing Address - Street 1:PO BOX 1642
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-1560
Mailing Address - Country:US
Mailing Address - Phone:917-647-4137
Mailing Address - Fax:
Practice Address - Street 1:14 LANCASTER CT
Practice Address - Street 2:
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-3849
Practice Address - Country:US
Practice Address - Phone:917-647-4137
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-14
Last Update Date:2015-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency