Provider Demographics
NPI:1629850904
Name:TOTS AT PLAY LLC
Entity Type:Organization
Organization Name:TOTS AT PLAY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EARLY INTERVENTION THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:BERENICE
Authorized Official - Middle Name:I
Authorized Official - Last Name:SALCEDO-CORREA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-653-5302
Mailing Address - Street 1:49 5TH AVE # 1097
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-2043
Mailing Address - Country:US
Mailing Address - Phone:917-653-5302
Mailing Address - Fax:
Practice Address - Street 1:49 5TH AVE # 1097
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-2043
Practice Address - Country:US
Practice Address - Phone:917-653-5302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-20
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty