Organization
HTA OF NEW YORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISH JOHNSON (ROCKLAND PROGRAM MANAGER)
(845) 638-3072
Entity
Organization
Contact information
Practice address
120 N MAIN ST, SUITE 207, NEW CITY, NY 10956-3717
(845) 638-3072
Mailing address
120 N MAIN ST, SUITE 207, NEW CITY, NY 10956-3717
(845) 638-3072
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
763829971
NY
Other
Enumeration date
06/16/2012
Last updated
06/16/2012
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