Organization
FORESTDALE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM WEISBERG PHD (EXECUTIVE DIRECTOR)
(718) 263-0740
Entity
Organization
Contact information
Practice address
67-35 112TH STREET, FOREST HILLS, NY 11375
(718) 263-0740
(718) 263-8967
Mailing address
67-35 112TH STREET, FOREST HILLS, NY 11375
(718) 263-0740
(718) 263-8967
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
—
—
253J00000X
Foster Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00343320
—
NY
Enumeration date
03/27/2007
Last updated
12/28/2016
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