Organization
JUDI DOBNER THERAPIST AGENCY LLC
Active
Other names
JDTA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM DOBNER PHD (CEO)
(845) 368-7927
Entity
Organization
Contact information
Practice address
386 ROUTE 59, SUITE 102, AIRMONT, NY 10952-3428
(845) 368-7927
(845) 368-7929
Mailing address
386 ROUTE 59, SUITE 102, AIRMONT, NY 10952-3428
(845) 368-7927
(845) 368-7929
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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