Organization
ASTOR SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON INGRAM LPN (LPN)
(845) 871-1057
Entity
Organization
Contact information
Practice address
6339 MILL ST, RHINEBECK, NY 12572-1427
(845) 871-1057
(845) 876-0713
Mailing address
6339 MILL ST, RHINEBECK, NY 12572-1427
(845) 871-1057
(845) 876-0713
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
228593-1
NY
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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