Organization
PROMED PERSONNEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SALLY PHILLIPS (DIRECTOR)
(212) 719-9600
Entity
Organization
Contact information
Practice address
18 E 41ST ST, NY, NY 10017
(212) 719-9600
Mailing address
286 JULIANNE TER, SECAUCUS, NJ 07094
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
584130
NY
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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