| Eating Disorder Treatment Of New York, Llc | |
|
259 Sickletown Rd West Nyack NY 10994-2905 | |
| (845) 379-9330 | |
| Not Available |
| Full Name | Eating Disorder Treatment Of New York, Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 259 Sickletown Rd, West Nyack, New York |
| Authorized Official Name and Position | Lauren Lau (CONTRACTING DIRECTOR) |
| Authorized Official Contact | 7249894564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eating Disorder Treatment Of New York, Llc 6100 Sw 76th St South Miami FL 33143-5002 Ph: (845) 379-9330 | Eating Disorder Treatment Of New York, Llc 259 Sickletown Rd West Nyack NY 10994-2905 Ph: (845) 379-9330 |
| NPI Number | 1114726411 |
|---|---|
| Provider Enumeration Date | 03/10/2025 |
| Last Update Date | 03/10/2025 |
| Certification Date | 03/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114726411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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