Organization
THE CENTER FOR DEVELOPMENTAL DISABILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLE ANNE BAILO (CONTROLLER)
(516) 921-7650
Entity
Organization
Contact information
Practice address
72 S WOODS RD, WOODBURY, NY 11797-1024
(516) 921-7650
Mailing address
72 S WOODS RD, WOODBURY, NY 11797-1024
(516) 921-7650
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
21680
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00244940
—
NY
05
—
00577766
—
NY
05
—
00879598
—
NY
05
—
00942392
—
NY
05
—
00994909
—
NY
05
—
01008828
—
NY
05
—
01153328
—
NY
05
—
01224455
—
NY
Enumeration date
12/11/2006
Last updated
08/22/2020
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