Organization
NYSARC INC NYC CHAPTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH EDWIN BENZIE (REVENUE MANAGER)
(516) 780-2500
Entity
Organization
Contact information
Practice address
4377 BRONX BLVD, BRONX, NY 10466-1397
(212) 780-2631
Mailing address
83 MAIDEN LN, 11 TH FLOOR, NEW YORK, NY 10038-4812
(212) 780-2500
(212) 777-5893
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01255265
—
NY
Enumeration date
05/19/2008
Last updated
05/19/2008
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