Organization
EATING DISORDER TREATMENT OF NEW YORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON SCHULTZ (CFO)
(720) 440-4277
Entity
Organization
Contact information
Practice address
259 SICKLETOWN RD, WEST NYACK, NY 10994-2905
(845) 379-9330
Mailing address
6100 SW 76TH ST, SOUTH MIAMI, FL 33143-5002
(845) 379-9330
(845) 818-3865
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
06/11/2025
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