NPI 1003060039

Jefferson Rehabilitation Center

Organisation Early Intervention Provider Agency Watertown, NY

Practice location

Address: 420 Gaffney Dr, Watertown, NY 13601-1823
Phone: (315) 788-2730
Fax: (315) 788-8557

Authorised official

Name: Daniel Ethan Stern
Title: Executive Director
Phone: (315) 788-2730

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in New York →

Registry record

NPI: 1003060039
Entity type: Organization
NPI issued: 4 Nov 2008
Record last updated: 4 Nov 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.