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Organization
EDEN II SCHOOL FOR AUTISTIC CHILDREN
Active
Organization
EDEN II SCHOOL FOR AUTISTIC CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL RAUCH (CHIEF FINANCIAL OFFICER)
(718) 816-1422
Entity
Organization
Contact information
Practice address
150 GRANITE AVENUE, STATEN ISLAND, NY 10303
(718) 816-1422
(718) 816-1428
Mailing address
150 GRANITE AVENUE, STATEN ISLAND, NY 10303
(718) 816-1422
(718) 816-1428
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01296208
—
NY
Enumeration date
02/13/2007
Last updated
07/16/2015
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