Organization
EAC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANCE ELDER (PRESIDENT CEO)
(516) 539-0150
Entity
Organization
Contact information
Practice address
175 FULTON AVE, SUITE 403, HEMPSTEAD, NY 11550
(516) 486-3222
(516) 486-8956
Mailing address
50 CLINTON ST, SUITE 107, HEMPSTEAD, NY 11550
(516) 539-0150
(516) 539-0150
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
070511510
NY
Other
Enumeration date
12/15/2006
Last updated
12/11/2007
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