Provider Demographics
NPI:1144017930
Name:TINY TRIUMPHS LLC
Entity type:Organization
Organization Name:TINY TRIUMPHS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MILENA
Authorized Official - Middle Name:
Authorized Official - Last Name:PINKHASOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-909-9740
Mailing Address - Street 1:75 OXFORD ST
Mailing Address - Street 2:
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-2445
Mailing Address - Country:US
Mailing Address - Phone:718-909-9740
Mailing Address - Fax:
Practice Address - Street 1:75 OXFORD ST
Practice Address - Street 2:
Practice Address - City:ROSLYN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11577-2445
Practice Address - Country:US
Practice Address - Phone:718-909-9740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-23
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency