Organization
TRANSITIONAL SERVICE FOR NEW YORK,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY GRUBLER (CEO)
(718) 746-6647
Entity
Organization
Contact information
Practice address
1016 162ND ST, WHITESTONE, NY 11357-2124
(718) 746-6647
Mailing address
1016 162ND ST, WHITESTONE, NY 11357-2124
(718) 746-6647
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
00739762
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00739762
—
NY
Enumeration date
05/06/2015
Last updated
05/06/2015
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