Organization
LIFE ADJUSTMENT CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SETH BRESSMAN (DIRECTOR OF FINANCE)
(212) 938-1223
Entity
Organization
Contact information
Practice address
1430 BROADWAY, SUITE 501, NEW YORK, NY 10018-3308
(212) 938-1223
(212) 302-5728
Mailing address
1430 BROADWAY, SUITE 501, NEW YORK, NY 10018-3308
(212) 938-1223
(212) 302-5728
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
25163
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25163
STATE OF NEW YORK DEPARTMENT OF HEALTH
NY
Enumeration date
08/12/2010
Last updated
08/12/2010
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