Organization
DEPARTMENT OF EDUCATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL LEVINE (OCCUPATIONAL THERAPY SUPERVISOR)
(516) 286-3774
Entity
Organization
Contact information
Practice address
19502 69TH AVE, FRESH MEADOWS, NY 11365-4031
(718) 464-4396
Mailing address
718 TANWOOD DR, WEST HEMPSTEAD, NY 11552-3234
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
63-000144
NY
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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