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Organization

THE SOCIETY OF ST. JOHNLAND

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL BARTOLOTTA (CFO)
(631) 663-2450
Entity
Organization

Contact information

Practice address
395 SUNKEN MEADOW RD, KINGS PARK, NY 11754-1000
(631) 663-2450
(631) 663-2100
Mailing address
395 SUNKEN MEADOW RD, KINGS PARK, NY 11754-1000
(631) 663-2450
(631) 663-2100

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Enumeration date
02/10/2016
Last updated
02/10/2016
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