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Organization

GRACEFUL DOVE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VICTOR SEDAROS (DIRECTOR OF OPERATION)
(718) 552-5179
Entity
Organization

Contact information

Practice address
4521 ARTHUR KILL RD, SUITE A, STATEN ISLAND, NY 10309-1315
(718) 552-5179
(718) 554-4069
Mailing address
4521 ARTHUR KILL RD, STATEN ISLAND, NY 10309-1315
(718) 552-5179
(718) 554-4069

Taxonomy

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

Other

Enumeration date
10/02/2015
Last updated
10/02/2015
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