Organization
RESTORATIVE MANAGEMENT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEAH BOROHOV (BILLER)
(718) 426-5151
Entity
Organization
Contact information
Practice address
15 KING STREET, MIDDLETOWN, NY 10940
(845) 342-5941
Mailing address
135 OCEAN PKWY APT 1N, BROOKLYN, NY 11218-2579
(718) 436-5151
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
061110960
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01448517
—
NY
Enumeration date
11/17/2008
Last updated
11/17/2008
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