Organization
NYSARC INC SUFFOLK CHAPTER
Active
Other names
Suffolk AHRC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM J LEONARDI (CFO)
(631) 585-0100
Entity
Organization
Contact information
Practice address
2900 VETERANS MEMORIAL HWY, BOHEMIA, NY 11716-1022
(631) 585-0100
(631) 585-0233
Mailing address
2900 VETERANS MEMORIAL HWY, BOHEMIA, NY 11716-1022
(631) 585-0100
(631) 585-0233
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02392818
—
NY
Enumeration date
05/14/2008
Last updated
05/14/2008
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