Organization
AMAZING DEVELOPMENT CARE MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CRUZ (DIRECTOR)
(646) 717-3761
Entity
Organization
Contact information
Practice address
8411 QUEENS BLVD, ELMHURST, NY 11373-3098
(646) 717-3761
Mailing address
8411 QUEENS BLVD, ELMHURST, NY 11373-3098
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
01/05/2022
Last updated
01/05/2022
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