Organization
CENTER FOR DEVELOPMENTAL DISABILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE ANN SANTASIERO RN (NURSING SUPERVISIOR CHILDRENS SERVI)
(516) 921-7650
Entity
Organization
Contact information
Practice address
72 S WOODS RD, WOODBURY, NY 11797-1024
(516) 921-7650
(516) 921-2498
Mailing address
72 S WOODS RD, WOODBURY, NY 11797-1024
(516) 921-7650
(516) 921-2698
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
300626-1
NY
251J00000X
Nursing Care Agency
300626-1
NY
Other
Enumeration date
09/27/2012
Last updated
11/19/2012
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