Provider Demographics
NPI:1568679017
Name:ALL ABOUT KIDS LLC
Entity Type:Organization
Organization Name:ALL ABOUT KIDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NOREEN
Authorized Official - Middle Name:THERESA
Authorized Official - Last Name:MAHON
Authorized Official - Suffix:
Authorized Official - Credentials:PT MS DPT
Authorized Official - Phone:845-742-8736
Mailing Address - Street 1:48 POPLAR DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-1015
Mailing Address - Country:US
Mailing Address - Phone:845-742-8736
Mailing Address - Fax:845-238-2091
Practice Address - Street 1:48 POPLAR DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-1015
Practice Address - Country:US
Practice Address - Phone:845-742-8736
Practice Address - Fax:845-238-2091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0112572251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01993659Medicaid