Organization
UCPN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MCGUIRE (EXECUTIVE DIRECTOR)
(516) 378-2000
Entity
Organization
Contact information
Practice address
380 WASHINGTON AVE, ROOSEVELT, NY 11575-1845
(516) 378-2000
Mailing address
380 WASHINGTON AVE, ROOSEVELT, NY 11575-1845
(516) 378-2000
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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