Organization
NEW YORK STATE CENTER FOR ADVANCED ADULT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIC FLORESTAL (PROGRAM OPERATIONS DIRECTOR)
(212) 866-6089
Entity
Organization
Contact information
Practice address
3457 EASTCHESTER RD APT 3E, BRONX, NY 10469-1649
(212) 866-6089
(212) 866-6089
Mailing address
3457 EASTCHESTER RD APT 3E, BRONX, NY 10469-1649
(212) 866-6089
(212) 866-6089
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
305R00000X
Preferred Provider Organization
—
—
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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