Organization
DEPARTMENT OF EDUCATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUNELANDE COUTARD OTR/L (OCCUPATIONAL THERAPIST)
(646) 436-6777
Entity
Organization
Contact information
Practice address
281 9TH AVE, NEW YORK, NY 10001-5701
(212) 563-4886
Mailing address
11032 64TH RD, FOREST HILLS, NY 11375-1418
(646) 436-6777
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
0147411
NY
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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