Organization
ELMCOR YOUTH AND ADULT ACTIVITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROPO OYEBODE MASTER IN ACCOUTING (FINANCE DIRECTOR)
(718) 651-0096
Entity
Organization
Contact information
Practice address
10720 NORTHERN BLVD, CORONA, NY 11368-1236
(718) 651-0096
(718) 457-3932
Mailing address
10720 NORTHERN BLVD, CORONA, NY 11368-1236
(718) 651-0096
(718) 457-3932
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
180711300
NY
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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