Organization
VILLAGE CHILD DEVELOPMENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIRRAH MAZELLAN COTA (C.O.T.A.)
(765) 661-1691
Entity
Organization
Contact information
Practice address
350 E 146TH ST, BRONX, NY 10451-5702
(765) 661-1691
Mailing address
350 E 146TH ST, BRONX, NY 10451-5702
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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