Organization
INSTITTUE FOR BASIC RESEARCH (NYS OPWDD)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. W TED BROWN (DIRECTOR)
(718) 494-5117
Entity
Organization
Contact information
Practice address
1050 FOREST HILL RD, STATEN ISLAND, NY 10314-6356
(718) 494-5117
Mailing address
1050 FOREST HILL RD, STATEN ISLAND, NY 10314-6356
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
08EI124700R0X00
NY
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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