Provider Demographics
NPI:1568074854
Name:CAPABLE KIDS EARLY INTERVENTION INC
Entity Type:Organization
Organization Name:CAPABLE KIDS EARLY INTERVENTION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:OUMOU
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAORE
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:917-519-2597
Mailing Address - Street 1:8244 255TH ST
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11004-1412
Mailing Address - Country:US
Mailing Address - Phone:917-519-2597
Mailing Address - Fax:
Practice Address - Street 1:8244 255TH ST
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11004-1412
Practice Address - Country:US
Practice Address - Phone:917-519-2597
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-19
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency