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Organization
AHRC
Active
Organization
AHRC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALYA VASERMAN RN (REGISTERED PROFESSIONAL NURSE)
(718) 987-1156
Entity
Organization
Contact information
Practice address
617 HUNTER AVE, STATEN ISLAND, NY 10306-5940
(718) 987-1156
Mailing address
617 HUNTER AVE, STATEN ISLAND, NY 10306-5940
(718) 987-1156
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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