Provider Demographics
NPI:1124263397
Name:G & Y KIDSPOWER, INC.
Entity type:Organization
Organization Name:G & Y KIDSPOWER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ITSKOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:718-896-1508
Mailing Address - Street 1:698 YONKERS AVE
Mailing Address - Street 2:STE. 1-J
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-2689
Mailing Address - Country:US
Mailing Address - Phone:914-969-3016
Mailing Address - Fax:914-969-3722
Practice Address - Street 1:698 YONKERS AVE
Practice Address - Street 2:STE. 1-J
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-2689
Practice Address - Country:US
Practice Address - Phone:914-969-3016
Practice Address - Fax:914-969-3722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-02
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency