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Organization
NASSAU SUFFOLK SERVICES FOR THE AUTISTIC
Active
Organization
NASSAU SUFFOLK SERVICES FOR THE AUTISTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE WEIDENBAUM (EXECUTIVE DIRECTOR)
(631) 462-0386
Entity
Organization
Contact information
Practice address
80 HAUPPAUGE RD, COMMACK, NY 11725-4403
(631) 462-0386
(631) 462-4201
Mailing address
80 HAUPPAUGE RD, COMMACK, NY 11725-4403
(631) 462-0386
(631) 462-4201
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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