Organization
BEACON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE PEDRO (SCHOOL PSYCHOLOGIST)
(516) 987-1272
Entity
Organization
Contact information
Practice address
1441 OLD NORTHERN BLVD, ROSLYN, NY 11576-2146
(516) 632-1105
Mailing address
180 GRANGE ST, FRANKLIN SQUARE, NY 11010-4202
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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