Organization
THERAPY ECT
Active
Other names
OTRehab ect
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONYA ROBENOV MHA (OCCUPATIONAL THERAPY DIRECTOR)
(917) 589-8828
Entity
Organization
Contact information
Practice address
8442 151ST ST, JAMAICA, NY 11432-1618
(917) 589-8828
Mailing address
PO BOX 747835, REGO PARK, NY 11374-7835
(917) 589-8828
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
013793-1
NY
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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