Organization
NEW YORK STATE ASSOCIATION FOR RETARDED CHILDREN INC NASSAU COUNTY CHA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY T RUSSO (DIRECTOR OF FINANCE)
(516) 626-1075
Entity
Organization
Contact information
Practice address
189 WHEATLEY RD, GLEN HEAD, NY 11545-2641
(516) 626-1075
(516) 626-3308
Mailing address
189 WHEATLEY RD, GLEN HEAD, NY 11545-2641
(516) 626-1075
(516) 626-3308
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01091854
—
NY
Enumeration date
01/19/2007
Last updated
07/24/2008
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