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Organization

ANOTHER STEP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM FLYNN (EXECUTIVE DIRECTOR)
(845) 920-0710
Entity
Organization

Contact information

Practice address
23 W CENTRAL AVE, PEARL RIVER, NY 10965-2320
(845) 920-0710
(845) 920-0173
Mailing address
23 W CENTRAL AVE, PEARL RIVER, NY 10965-2320
(845) 920-0710
(845) 920-0173

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01492108
NY
05
01736378
NY
05
01805678
NY
05
01895803
NY
05
01955751
NY
05
01995931
NY
05
02061810
NY
05
02111104
NY
05
02170607
NY
05
02189971
NY
05
02291041
NY
05
02356870
NY
05
02513160
NY
05
02517426
NY
05
02692419
NY
05
02749200
NY
Enumeration date
05/31/2007
Last updated
08/22/2020
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