# NYSARC, INC. - SUFFOLK CHAPTER

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

## Provider details

- **NPI number:** 1720226129
- **Authorized official:** MR. WILLIAM J. LEONARDI (CONTROLLER)
- **Authorized official phone:** (631) 585-0100

## Contact information

- **Practice address:** 2900 VETERANS MEMORIAL HWY, BOHEMIA, NY 11716-1022
- **Practice address phone:** (631) 585-0100
- **Practice address fax:** (631) 585-0233
- **Mailing address:** 2900 VETERANS MEMORIAL HWY, BOHEMIA, NY 11716-1022
- **Mailing address phone:** (631) 585-0100
- **Mailing address fax:** (631) 585-0233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/23/2009
- **Last updated:** 01/23/2009