# PROMED PERSONNEL

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

## Provider details

- **NPI number:** 1912131590
- **Authorized official:** MRS. SALLY PHILLIPS (DIRECTOR)
- **Authorized official phone:** (212) 719-9600

## Contact information

- **Practice address:** 18 E 41ST ST, NY, NY 10017
- **Practice address phone:** (212) 719-9600
- **Mailing address:** 286 JULIANNE TER, SECAUCUS, NJ 07094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 584130 | NY | Yes |

## Other

- **Enumeration date:** 05/11/2009
- **Last updated:** 05/11/2009