Organization
VNSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER L BRULLO DNP (PRESIDENT/CEO)
(914) 682-1480
Entity
Organization
Contact information
Practice address
1311 MAMARONECK AVE, WHITE PLAINS, NY 10605-5221
(914) 682-1477
Mailing address
263 ASHFORD AVE, DOBBS FERRY, NY 10522-2001
(914) 693-3231
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
289464-1
NY
Other
Enumeration date
11/14/2008
Last updated
07/30/2025
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