# NANCY CORP.

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

## Provider details

- **NPI number:** 1417226671
- **Authorized official:** DR. AFDAL M ELREWENY DOCTOR OF PT (PRESIDENT)
- **Authorized official phone:** (718) 415-0383

## Contact information

- **Practice address:** 755 W FINGERBOARD RD, STATEN ISLAND, NY 10305-2628
- **Practice address phone:** (718) 415-0383
- **Practice address fax:** (718) 876-4986
- **Mailing address:** 755 W FINGERBOARD RD, STATEN ISLAND, NY 10305-2628
- **Mailing address phone:** (718) 415-0383
- **Mailing address fax:** (718) 876-4986

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 019765-1 | NY | Yes |

## Other

- **Enumeration date:** 12/16/2011
- **Last updated:** 12/16/2011
