Organization
EARLY CHILDHOOD PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEANNINE CARR (COORDINATOR EARLY CHILDHOOD PROGRAM)
(845) 680-1325
Entity
Organization
Contact information
Practice address
140 LESTER DR, TAPPAN, NY 10983-1217
(845) 680-1325
(845) 680-1922
Mailing address
140 LESTER DR, TAPPAN, NY 10983-1217
(845) 680-1325
(845) 680-1322
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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