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Organization

TEACHING FAMILY FARMINGDALE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWIN M KENNEDY (CFO)
(516) 733-7000
Entity
Organization

Contact information

Practice address
4 PLEASANT AVE, FARMINGDALE, NY 11735-6023
(631) 665-5902
Mailing address
4 PLEASANT AVE, FARMINGDALE, NY 11735-6023
(631) 665-5902

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02608340
NY
Enumeration date
04/03/2007
Last updated
08/22/2020
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