Organization
ASTOR HOME FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BRAY PH.D (EXECUTIVE DIRECTOR)
(845) 871-0009
Entity
Organization
Contact information
Practice address
46 LINCOLN AVE, POUGHKEEPSIE, NY 12601-4518
(845) 485-1882
(845) 452-8563
Mailing address
46 LINCOLN AVE, POUGHKEEPSIE, NY 12601-4518
(845) 485-1882
(845) 452-8563
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
104100000X
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90806
—
NY
Enumeration date
05/20/2008
Last updated
05/20/2008
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