Organization
JCB OF GLEN COVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES C BAO PH.D. (PRESIDENT)
(516) 676-6833
Entity
Organization
Contact information
Practice address
12 SYCAMORE RD, GLEN COVE, NY 11542-1725
(516) 676-6833
Mailing address
12 SYCAMORE ROAD, GLEN COVE, NY 11542
(516) 676-6833
(516) 676-6833
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
52100
NY
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
08/29/2008
Last updated
10/01/2008
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