| Amateur Athletic Union Of The United States / Special Dragons | |
|
242 Chestnut St Nutley NJ 07110-2329 | |
| (973) 667-8525 | |
| Not Available |
| Full Name | Amateur Athletic Union Of The United States / Special Dragons |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 242 Chestnut St, Nutley, New Jersey |
| Authorized Official Name and Position | George Bostory (PRES/FOUNDER) |
| Authorized Official Contact | 9736678525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amateur Athletic Union Of The United States / Special Dragons 77 Tiona Ave Belleville NJ 07109-2235 Ph: (973) 667-8525 | Amateur Athletic Union Of The United States / Special Dragons 242 Chestnut St Nutley NJ 07110-2329 Ph: (973) 667-8525 |
| NPI Number | 1518583145 |
|---|---|
| Provider Enumeration Date | 06/19/2020 |
| Last Update Date | 06/19/2020 |
| Certification Date | 06/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518583145 | NPI | - | NPPES |
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