NPI 1104253772
Pederson-Krag
Practice location
- Address
- 77 Radcliffe Ave., Farmingdale, NY 11735
- Phone
- (516) 301-8283
- Mailing address
- 77 Radcliffe Ave, Farmingdale, NY 11735-5222
Authorised official
- Name
- Jeremy Toner
- Title
- Social Worker
- Phone
- (516) 301-8289
Registered specialties
Psychiatric Hospital Unit
Primary
Registry record
- NPI
- 1104253772
- Entity type
- Organization
- NPI issued
- 27 Sep 2013
- Record last updated
- 27 Sep 2013
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.