# INCLUDED

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

## Provider details

- **NPI number:** 1760790893
- **Authorized official:** SHEILA KLEIN MS,CCC-A (SUPERVISOR OF NASSAU COUNTY SERVICE)
- **Authorized official phone:** (516) 368-8420

## Contact information

- **Practice address:** 145 CEDARHURST AVE, CEDARHURST, NY 11516
- **Practice address phone:** (516) 368-8420
- **Mailing address:** 145 CEDARHURST AVE, CEDARHURST, NY 11516-2131
- **Mailing address phone:** (516) 368-8420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 002353 | NY | Yes |

## Other

- **Enumeration date:** 09/23/2010
- **Last updated:** 09/23/2010