Organization
EAST RAMAPO CSD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELIE WIZMAN (ADMINISTRATOR)
(845) 577-6031
Entity
Organization
Contact information
Practice address
151 GRANDVIEW AVE, MONSEY, NY 10952-1414
(845) 577-6263
Mailing address
105 S MADISON AVE, SPRING VALLEY, NY 10977-5474
(845) 577-6031
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
529755-1
NY
Other
Enumeration date
01/27/2013
Last updated
01/27/2013
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