NPI 1164787511
Yai
Practice location
- Address
- 460 W 34th St, New York, NY 10001-2320
- Phone
- (212) 273-6100
- Mailing address
- 390 Smith St, Central Islip, NY 11722-3726
Authorised official
- Name
- Glenn Ellenbogen
- Title
- Supervisor of Assessments Unit
- Phone
- (212) 273-6100
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1164787511
- Entity type
- Organization
- NPI issued
- 11 Jul 2012
- Record last updated
- 11 Jul 2012
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.