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Menorah Park Group Residents
Developmental Disabilities Clinic/Center in Dewitt, New York
NPI 1689815805

Menorah Park Group Residents is a Developmental Disabilities Clinic/Center based in Fayetteville, NY and is specialized in Developmental Disabilities. Menorah Park Group Residents practices in Dewitt, NY. The NPI Number for Menorah Park Group Residents is 1689815805 and holds a License No. SPV46480 (New York).

The current practice location address for Menorah Park Group Residents is 12 Jamar Drive, Dewitt, NY and can be reached out via phone at 315-446-9111.

Location: 12 Jamar Drive, Dewitt, NY, 13066-1619
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689815805
Provider Name
Menorah Park Group Residents
Credential
Provider Entity Type
Organization
Address
12 Jamar Drive, Dewitt, NY, 13066-1619
Phone Number
315-446-9111
Fax Number
Provider Enumeration Date
03/18/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03035921 05 NY
institution
Provider Business Practice Location Address Details
Address
12 Jamar Drive
City
Dewitt
State
New York
Zip
13066
Phone Number
315-446-9111
Fax Number
person
Provider Business Mailing Address Details
Address
12 Jamar Drive
City
Dewitt
State
New York
Zip
13066
Phone Number
315-446-9111
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
SPV46480 (New York)
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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