Organization
NASSAU BOCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICE ANNE ZACHARY-MULLIN (SOCIAL WORKER)
(516) 396-2640
Entity
Organization
Contact information
Practice address
2850 N JERUSALEM RD, WANTAGH, NY 11793-1125
(516) 396-2900
Mailing address
2850 NORTH JERUSALEM ROAD, WANTAGH, NY 11793
(516) 396-2900
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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