Organization
RES COMPANY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN VOLLARO M.S.W. (VICE PRESIDENT, BUSINESS OPERATIONS)
(631) 732-4794
Entity
Organization
Contact information
Practice address
1461 LAKELAND AVE, SUITE 12, BOHEMIA, NY 11716-2174
(631) 732-4794
(631) 732-0355
Mailing address
1461 LAKELAND AVE, SUITE 12, BOHEMIA, NY 11716-2174
(631) 732-4794
(631) 732-0355
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02173802
—
NY
05
—
03015405
—
NY
Enumeration date
05/10/2007
Last updated
08/30/2016
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