Organization
DAYSTAR FORMEDICALLY FRAGILE CHILDREN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENIQUE CONNER (FINANCE DIRECTOR)
(585) 385-6287
Entity
Organization
Contact information
Practice address
700 LAC DE VILLE BLVD, ROCHESTER, NY 14618-5665
(585) 385-6287
Mailing address
700 LAC DE VILLE BLVD, ROCHESTER, NY 14618-5665
(585) 385-6287
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03081367
—
NY
Enumeration date
02/19/2015
Last updated
02/19/2015
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