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Organization

AVB CARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADAM V BONANNO M.S.ED. (PRESIDENT)
(718) 702-5471
Entity
Organization

Contact information

Practice address
1535 RICHMOND AVE, STATEN ISLAND, NY 10314-1520
(718) 556-1616
Mailing address
62 CRANBERRY CT, STATEN ISLAND, NY 10309-1987
(718) 702-5471

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1093188
NY

Other

Enumeration date
06/18/2012
Last updated
06/18/2012
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