Organization
PEDERSON KRAG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SAVINO (SOCIAL WORKER)
(631) 853-8511
Entity
Organization
Contact information
Practice address
3600 ROUTE 112, CORAM, NY 11727-4116
(631) 853-8511
Mailing address
102 ROMITO CT, BETHPAGE, NY 11714-3221
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
086683
NY
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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