Organization
GROWING ZONE THERAPEUTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNA MARIA GAMBINO MS (PRESIDENT)
(631) 242-0240
Entity
Organization
Contact information
Practice address
41 BAYBERRY DR, SAINT JAMES, NY 11780-2141
(631) 242-0240
Mailing address
41 BAYBERRY DRIVE, ST JAMES, NY 11780-2141
(631) 242-0240
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
110743045
NY
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
110743045
NY
Other
Enumeration date
01/24/2007
Last updated
06/30/2008
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