Organization
INCLUDED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA KLEIN (SUPERVISOR FOR NASSAU COUNTY SERVIC)
(516) 368-8425
Entity
Organization
Contact information
Practice address
522 JARVIS AVE, FAR ROCKAWAY, NY 11691-5426
(917) 282-0453
Mailing address
522 JARVIS AVE, FAR ROCKAWAY, NY 11691-5426
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
069691-1
NY
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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