Provider Demographics
NPI:1467731927
Name:KIDZ DISCOVERY INC.
Entity Type:Organization
Organization Name:KIDZ DISCOVERY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALACHI
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:646-702-6965
Mailing Address - Street 1:1234 WEST BROADWAY STE. 201
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557
Mailing Address - Country:US
Mailing Address - Phone:646-702-6965
Mailing Address - Fax:516-977-3319
Practice Address - Street 1:1234 WEST BROADWAY STE. 201
Practice Address - Street 2:
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557
Practice Address - Country:US
Practice Address - Phone:646-702-6965
Practice Address - Fax:516-977-3319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-15
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY884924252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency