Organization
HORIZON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANNE TELESEN MARTINEZ (CNA)
(347) 499-1150
Entity
Organization
Contact information
Practice address
96 INDEPENDENCE AVE, FREEPORT, NY 11520-1689
(347) 449-1150
Mailing address
96 INDEPENDENCE AVE, FREEPORT, NY 11520-1689
(347) 449-1150
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
343310970812E
NY
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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