Organization
AMAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE DAY (RELATED SERVICES COORDINATOR)
(212) 645-5005
Entity
Organization
Contact information
Practice address
25 W 17TH ST, NEW YORK, NY 10011-5501
(212) 645-5005
Mailing address
25 WEST 17TH STREET, NEW YORK, NY 10010
(212) 645-5005
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
024354-1
NY
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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