Organization
DORIS SCROZZO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS SCROZZO OTA (OTA)
(718) 417-7118
Entity
Organization
Contact information
Practice address
70-38 67TH STREET, GLENDALE, NY 11385
(718) 417-7118
Mailing address
7030 67TH ST, GLENDALE, NY 11385-6661
(718) 417-7118
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
004291
NY
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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