Organization
D M W THERAPEUTIC SERVICES.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESIREE M WELCH MSED (ABA SPECIALIST)
(718) 930-9335
Entity
Organization
Contact information
Practice address
16 LONG BR APT A, GLEN COVE, NY 11542-3262
(718) 930-9335
Mailing address
16A LONG BR. RD, GLEN COVE, NY 11542
(718) 930-9335
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1222386
NY
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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