Organization
FABRICK CORP.
Active
Organization
FABRICK CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FREDA SAJOUS JOSEPH BS (OCCUPATIONAL THERAPY ASSISTANT)
(516) 295-0013
Entity
Organization
Contact information
Practice address
6 CLOVERFIELD RD N, VALLEY STREAM, NY 11581-2404
(516) 295-0013
(516) 295-0013
Mailing address
6 CLOVERFIELD RD N, VALLEY STREAM, NY 11581-2404
(516) 295-0013
(516) 295-0013
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
0048911
NY
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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