Organization
ED180, INC
Active
Other names
Ed180 Eating Disorder Treatment Programs
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY R DESARBO D.O. (DIRECTOR)
(516) 280-3544
Entity
Organization
Contact information
Practice address
300 GARDEN CITY PLZ, SUITE 312, GARDEN CITY, NY 11530-3302
(516) 280-3544
(516) 414-2544
Mailing address
300 GARDEN CITY PLZ, SUITE 312, GARDEN CITY, NY 11530-3302
(516) 280-3544
(516) 414-2544
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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