# JILLY'S PLACE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043572456
- **Authorized official:** MS. PAT HOWLEY RN , LMSW (DIRECTOR)
- **Authorized official phone:** (845) 496-1966

## Contact information

- **Practice address:** 10 WEATHERVANE DR, WASHINGTONVILLE, NY 10992-2242
- **Practice address phone:** (845) 496-1966
- **Practice address fax:** (845) 496-1976
- **Mailing address:** 10 WEATHERVANE DR, WASHINGTONVILLE, NY 10992-2242
- **Mailing address phone:** (845) 496-1966
- **Mailing address fax:** (845) 496-1976

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NY | Yes |

## Other

- **Enumeration date:** 06/12/2012
- **Last updated:** 06/12/2012