Organization
JUST KIDS DIAGNOSTIC AND TREATMENT CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE M. HELD M.A. (EXECUTIVE DIRECTOR)
(631) 924-0008
Entity
Organization
Contact information
Practice address
35 LONGWOOD RD, MIDDLE ISLAND, NY 11953-2045
(631) 924-0008
(631) 924-1243
Mailing address
35 LONGWOOD RD, P.O. BOX 12, MIDDLE ISLAND, NY 11953-2045
(631) 924-0008
(631) 924-1243
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
5151203R
NY
252Y00000X
Early Intervention Provider Agency
5151203R
NY
261Q00000X
Clinic/Center
Primary
5151203R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01132750
—
NY
Enumeration date
02/01/2007
Last updated
12/16/2020
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