Organization
EATING DISORDER TREATMENT OF NEW YORK, LLC
Active
Other names
Clementine Briarcliff Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON SHULTZ (CHIEF FINANCIAL OFFICER)
(720) 440-4277
Entity
Organization
Contact information
Practice address
233 PINE RD, BRIARCLIFF MANOR, NY 10510-2236
(310) 589-8999
(310) 589-9201
Mailing address
6100 SW 76TH STREET, SOUTH MIAMI, FL 33143
(305) 663-1876
(914) 479-5490
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2016
Last updated
06/11/2025
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