Mrs. Suzanne Pavelock

Individual provider Developmentally Disabled Services Day Training Agency · NPI 1740695097

Mrs. Suzanne Pavelock is a Developmentally Disabled Services Day Training Agency in Ronkonkoma, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in: NY
In the registry since: 2014

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Practice location Address checks out

90 Airpark Dr
Ronkonkoma, NY 11779
Phone: (631) 580-4001

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Specialties & licences

Developmentally Disabled Services Day Training Agency (primary)	Taxonomy 251C00000X · Licence 827294 (NY)

Record details

NPI number	1740695097
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	June 25, 2014
Last updated in NPPES	June 25, 2014
Mailing address	221 Stuyvesant Dr, Selden, NY 11784-1225