Organization
ACCESS7 SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JO DISTEFANO (PRESIDENT)
(631) 864-7770
Entity
Organization
Contact information
Practice address
6080 JERICHO TPKE, COMMACK, NY 11725-2850
(631) 864-7770
(631) 864-7773
Mailing address
6080 JERICHO TPKE, COMMACK, NY 11725-2850
(631) 864-7770
(631) 864-7773
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3602
NY
104100000X
Social Worker
065635-1
NY
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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