Organization
JUST KIDS DIAGNOSTIC AND TREATMENT CENTER INC
Active
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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