Provider Demographics
NPI:1457776890
Name:KIDZ DISCOVERY INC
Entity Type:Organization
Organization Name:KIDZ DISCOVERY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALACHI
Authorized Official - Suffix:
Authorized Official - Credentials:BA PSYCH MS ED
Authorized Official - Phone:646-702-6965
Mailing Address - Street 1:1034 E 233RD ST STE 2
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466-3317
Mailing Address - Country:US
Mailing Address - Phone:646-702-6965
Mailing Address - Fax:
Practice Address - Street 1:1034 E 233RD ST STE 2
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-3317
Practice Address - Country:US
Practice Address - Phone:646-702-6965
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-21
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY24988252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency