Provider Demographics
NPI:1407000326
Name:KINDERKARE
Entity Type:Organization
Organization Name:KINDERKARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TSHH
Authorized Official - Prefix:MR
Authorized Official - First Name:YVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDRADE
Authorized Official - Suffix:
Authorized Official - Credentials:TSHH
Authorized Official - Phone:917-843-6920
Mailing Address - Street 1:3000 BRONX PARK EAST
Mailing Address - Street 2:APT. 8M
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467
Mailing Address - Country:US
Mailing Address - Phone:917-843-6920
Mailing Address - Fax:347-427-7030
Practice Address - Street 1:511 HEMPSTEAD AVENUE
Practice Address - Street 2:KINDERKARE EI
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552
Practice Address - Country:US
Practice Address - Phone:516-656-5038
Practice Address - Fax:516-565-2782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency