Organization
NEW YORK STATE CENTER FOR ADVANCED ADULT SERVICES
Active
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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