Provider Demographics
NPI:1972947570
Name:MAGGIE'S GROUP FAMILY DAYCARE LLC
Entity Type:Organization
Organization Name:MAGGIE'S GROUP FAMILY DAYCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-591-5701
Mailing Address - Street 1:13747 70TH AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1916
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13747 70TH AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-1916
Practice Address - Country:US
Practice Address - Phone:718-544-0437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-25
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY136519252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency