Organization
ASTOR HEADSTART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDIE MARIE GERENA (LPN)
(845) 765-1345
Entity
Organization
Contact information
Practice address
6339 MILL ST, RHINEBECK, NY 12572-1427
(845) 838-9904
Mailing address
101 TOMPKINS TER, BEACON, NY 12508-1608
(845) 765-1345
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
284778-1
NY
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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