Menorah Park Group Residents
Menorah Park Group Residents is a Developmental Disabilities Clinic/Center in Dewitt, New York. Licensed in New York. Registered with an NPI since 2009.
- Licensed in
- NY
- In the registry since
- 2009
Practice location Address checks out
12 Jamar DrDewitt, NY 13066
Phone: (315) 446-9111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Disabilities Clinic/Center (primary) | Taxonomy 261QD1600X · Licence SPV46480 (NY) |
|---|
Record details
| NPI number | 1689815805 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Toni Cole — Office · (315) 446-9111 |
| NPI enumerated | March 18, 2009 |
| Last updated in NPPES | March 18, 2009 |
| Mailing address | 12 Jamar Dr, Fayetteville, NY 13066-1619 |