Organization
PROMED
Active
Organization
PROMED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY PHILLIPS (STAFFING DIRECTOR)
(212) 719-9600
Entity
Organization
Contact information
Practice address
1034 E 14TH ST, BROOKLYN, NY 11230-4302
(718) 758-9229
Mailing address
18 E 41ST ST, NEW YORK, NY 10017-6222
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
2165183
NY
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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