Organization
NYSHA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MEYER WERTHEIMER (BOARD DIRECTOR)
(845) 774-0306
Entity
Organization
Contact information
Practice address
293-295 DIVISION AVE., BROOKLYN, NY 11211-7386
(718) 302-3333
Mailing address
293-295 DIVISION AVE., BROOKLYN, NY 11211-7386
(718) 302-3333
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
7377300
NY
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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