# DORIS SCROZZO

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

## Provider details

- **NPI number:** 1093915993
- **Authorized official:** DORIS SCROZZO OTA (OTA)
- **Authorized official phone:** (718) 417-7118

## Contact information

- **Practice address:** 70-38 67TH STREET, GLENDALE, NY 11385
- **Practice address phone:** (718) 417-7118
- **Mailing address:** 7030 67TH ST, GLENDALE, NY 11385-6661
- **Mailing address phone:** (718) 417-7118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 004291 | NY | Yes |

## Other

- **Enumeration date:** 07/19/2007
- **Last updated:** 07/19/2007