Organization
TEACHING FAMILY PLAINVIEW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN M KENNEDY (CFO)
(516) 733-7040
Entity
Organization
Contact information
Practice address
4 SUNRISE ST, PLAINVIEW, NY 11803-4613
(631) 665-5902
Mailing address
90 CHERRY LN, HICKSVILLE, NY 11801-6232
(516) 733-7040
(516) 733-7098
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01303497
—
NY
Enumeration date
05/29/2009
Last updated
05/29/2009
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