NPI 1245756733

Mgk INC

Organisation Early Intervention Provider Agency Stamford, CT

Practice location

Address: 66 Summer St Unit 311, Stamford, CT 06901-2316
Phone: (917) 504-2705
Fax: (203) 428-6200
Mailing address: PO Box 716, Bronx, NY 10469-0701

Authorised official

Name: Michael Gerard Kudrenetsky
Title: President
Phone: (917) 504-2705

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence 129466689 (NY)

Other Early Intervention Provider Agency providers in Connecticut →

Registry record

NPI: 1245756733
Entity type: Organization
NPI issued: 17 Aug 2017
Record last updated: 17 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.