Provider Demographics
NPI:1922435635
Name:D&M SUPER KIDS, LLC
Entity Type:Organization
Organization Name:D&M SUPER KIDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOLMACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-554-8040
Mailing Address - Street 1:21 KAYLA CT
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-1317
Mailing Address - Country:US
Mailing Address - Phone:347-554-8040
Mailing Address - Fax:347-554-8039
Practice Address - Street 1:21 KAYLA CT
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-1317
Practice Address - Country:US
Practice Address - Phone:347-554-8040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-27
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)