Organization
LIFESTYLES FOR THE DISABLED, INC.
Active
Other names
Lifestyles
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT RICHARD SALINARDI (CHIEF OPERATING OFFICER)
(718) 983-5351
Entity
Organization
Contact information
Practice address
930 WILLOWBROOK RD, BUILDING 12G, STATEN ISLAND, NY 10314-4209
(718) 983-5351
(718) 983-5383
Mailing address
930 WILLOWBROOK RD, BUILDING 12G, STATEN ISLAND, NY 10314-4209
(718) 983-5351
(718) 983-5383
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01499581
—
NY
05
—
02002151
—
NY
05
—
02225905
—
NY
05
—
02591880
—
NY
05
—
02700067
—
NY
05
—
03563926
—
NY
Enumeration date
11/14/2014
Last updated
11/14/2014
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