Organization
PEDERSON-KRAG
Active
Organization
PEDERSON-KRAG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY TONER (SOCIAL WORKER)
(516) 301-8289
Entity
Organization
Contact information
Practice address
77 RADCLIFFE AVE., FARMINGDALE, NY 11735
(516) 301-8283
Mailing address
77 RADCLIFFE AVE, FARMINGDALE, NY 11735-5222
(516) 301-8283
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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