Organization
NORTHSIDE CHILD DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY L COLMAN M.S. (SPECIAL INSTRUCTOR)
(845) 548-3182
Entity
Organization
Contact information
Practice address
302 PIERMONT AVE, 2A, NYACK, NY 10960-4628
(845) 548-3182
Mailing address
302 PIERMONT AVE, 2A, NYACK, NY 10960-4628
(845) 548-3182
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
2184
NY
Other
Enumeration date
06/30/2012
Last updated
06/30/2012
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