Provider Demographics
NPI:1427201003
Name:KIDCARE ASSOCIATES, INC.
Entity Type:Organization
Organization Name:KIDCARE ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENBLUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-735-3963
Mailing Address - Street 1:1326 PRESIDENT ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-4238
Mailing Address - Country:US
Mailing Address - Phone:718-735-3963
Mailing Address - Fax:718-735-3966
Practice Address - Street 1:476 MALBONE ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-3200
Practice Address - Country:US
Practice Address - Phone:718-735-3963
Practice Address - Fax:718-735-3966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency