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Organization

TIMOTHY HILL CHILDREN'S RANCH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BERNADETTE GILDEA (CLINICAL DIRECTOR)
(631) 369-1402
Entity
Organization

Contact information

Practice address
298 MIDDLE RD, RIVERHEAD, NY 11901-2034
(631) 369-1402
(631) 369-0130
Mailing address
298 MIDDLE RD, RIVERHEAD, NY 11901-2034
(631) 369-1402
(631) 369-0130

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
NY

Other

Enumeration date
10/27/2006
Last updated
07/21/2022
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