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Organization
EAST END KIDS THERAPY, INC.
Active
Organization
EAST END KIDS THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN PETER SICILIAN PSYCHOLOGIST (EXECUTIVE DIRECTOR)
(631) 267-2900
Entity
Organization
Contact information
Practice address
502 N SEA RD, SOUTHAMPTON, NY 11968-2012
(631) 267-2900
(631) 267-2950
Mailing address
502 N SEA RD, SOUTHAMPTON, NY 11968-2012
(631) 267-2900
(631) 267-2950
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
04/10/2012
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