# INSTITTUE FOR BASIC RESEARCH (NYS OPWDD)

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

## Provider details

- **NPI number:** 1255647319
- **Authorized official:** DR. W TED BROWN (DIRECTOR)
- **Authorized official phone:** (718) 494-5117

## Contact information

- **Practice address:** 1050 FOREST HILL RD, STATEN ISLAND, NY 10314-6356
- **Practice address phone:** (718) 494-5117
- **Mailing address:** 1050 FOREST HILL RD, STATEN ISLAND, NY 10314-6356

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 08EI124700R0X00 | NY | Yes |

## Other

- **Enumeration date:** 08/27/2010
- **Last updated:** 08/27/2010