Organization
THE TOMMY EXPERIENCE
Active
Other names
Tommy House Social Day
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS MICKENS (PRESIDENT CEO)
(917) 488-3898
Entity
Organization
Contact information
Practice address
27 E MERRICK RD, 2ND FLOOR, VALLEY STREAM, NY 11580-5814
(917) 488-3898
Mailing address
27 E MERRICK RD, 2ND FLOOR, VALLEY STREAM, NY 11580-5814
(917) 488-3898
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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