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Organization

DAVID S. ERDOS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID S. ERDOS (OWNER)
(917) 691-7416
Entity
Organization

Contact information

Practice address
1610 HEREFORD RD, HEWLETT, NY 11557-1804
(917) 691-7416
(516) 791-3444
Mailing address
1610 HEREFORD RD, HEWLETT, NY 11557-1804
(917) 691-7416
(516) 791-3444

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
012143
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03773411
NY
Enumeration date
05/09/2016
Last updated
05/09/2016
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