Organization
VILLAGE CHILD DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA SUSER OTR-L (OCCUPATIONAL THERAPIST)
(718) 585-0600
Entity
Organization
Contact information
Practice address
350 E 146TH ST, BRONX, NY 10451-5702
(718) 585-0600
Mailing address
350 E 146TH ST, BRONX, NY 10451-5702
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
009060
NY
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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