Organization
JACKSON DEVELOPMENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN GELMAN (EXECUTIVE DIRECTOR)
(718) 205-1919
Entity
Organization
Contact information
Practice address
3136 88TH ST, EAST ELMHURST, NY 11369-1415
(718) 205-1919
Mailing address
3136 88TH ST, EAST ELMHURST, NY 11369-1415
(718) 205-1919
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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