# TAY TAY MAC EVALUATIONS & THERAPY

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

## Provider details

- **NPI number:** 1790079838
- **Authorized official:** LAMETTREE MCELVEEN (DIRECTOR)
- **Authorized official phone:** (718) 974-6364

## Contact information

- **Practice address:** 650 BUTTRICK AVE. 2C, BRONX, NY 10465-2625
- **Practice address phone:** (718) 974-6364
- **Mailing address:** 650 BUTTRICK AVE. 2C, BRONX, NY 10465-2625
- **Mailing address phone:** (718) 974-6364

## Taxonomy

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

## Other

- **Enumeration date:** 06/07/2011
- **Last updated:** 06/07/2011