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Organization

TABULA ROSA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRYSTYNA SHYMKO MS.SP.ED (PRESIDENT)
(347) 782-1329
Entity
Organization

Contact information

Practice address
27 ROME AVE, STATEN ISLAND, NY 10304-4317
(347) 782-1329
Mailing address
27 ROME AVE, STATEN ISLAND, NY 10304-4317
(347) 782-1329

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1361084
NY

Other

Enumeration date
09/10/2015
Last updated
09/10/2015
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