Organization
ACHIEVEMENTS PPL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLYN MARY CLARK (SPECIALIST)
(516) 660-2196
Entity
Organization
Contact information
Practice address
72 YORKTOWN ST, ROCKVILLE CENTRE, NY 11570-5134
(516) 660-2196
Mailing address
72 YORKTOWN ST, ROCKVILLE CENTRE, NY 11570-5134
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
NY
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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