Organization
NASSAU SUFFOLK SERVICES FOR THE AUTISTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE WEIDENBAUM (EXECUTIVE DIRECTOR)
(631) 462-0386
Entity
Organization
Contact information
Practice address
80 HAUPPAUGE RD, COMMACK, NY 11725-4403
(631) 462-0386
(631) 462-4201
Mailing address
80 HAUPPAUGE RD, COMMACK, NY 11725-4403
(631) 462-0386
(631) 462-4201
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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