Organization
UP WEE GROW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN RESNICK (OWNER)
(631) 351-1111
Entity
Organization
Contact information
Practice address
3 GREENHILLS RD, HUNTINGTON STATION, NY 11746-3905
(631) 351-1111
Mailing address
3 GREENHILLS RD, HUNTINGTON STATION, NY 11746-3905
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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