STATE OF NEW YORK COMPTROLLERS OFFICE

NPI # 

Practice Address:

1050 Forest Hill Rd

Staten Island, NY, 10314-6356

Practice Phone:

718-494-5151

Practice Fax:

718-494-2258

License Number:

224141

License State:

NY

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Developmental Disabilities

Taxonomy Code:

261QD1600X

Updated by NPPES on 12/28/2015. You can view the original data set for NPI # 1750469912 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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STATE OF NEW YORK COMPTROLLERS OFFICE's

CMS CPT® coding data

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STATE OF NEW YORK COMPTROLLERS OFFICE's

CMS prescription data

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