NPI 1457721482

Graceful Dove, LLC

Organisation Developmentally Disabled Services Day Training Agency Staten Island, NY

Practice location

Address: 4521 Arthur Kill Rd Suite a, Staten Island, NY 10309-1315
Phone: (718) 552-5179
Fax: (718) 554-4069
Mailing address: 4521 Arthur Kill Rd, Staten Island, NY 10309-1315

Authorised official

Name: Victor Sedaros
Title: Director of Operation
Phone: (718) 552-5179

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in New York →

Registry record

NPI: 1457721482
Entity type: Organization
NPI issued: 2 Oct 2015
Record last updated: 2 Oct 2015

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.