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Mrs. Suzanne Pavelock
Developmentally Disabled Services Day Training Agency in Ronkonkoma, New York
NPI 1740695097

Suzanne Pavelock is a Developmentally Disabled Services Day Training Agency based in Selden, NY. Suzanne Pavelock practices in Ronkonkoma, NY. The NPI Number for Suzanne Pavelock is 1740695097 and holds a License No. 827294 (New York).

The current practice location address for Suzanne Pavelock is 90 Airpark Drive, Ronkonkoma, NY and can be reached out via phone at 631-580-4001.

Location: 90 Airpark Drive, Ronkonkoma, NY, 11784-1225
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740695097
Provider Name
Suzanne Pavelock
Credential
Provider Entity Type
Individual
Gender
Female
Address
90 Airpark Drive, Ronkonkoma, NY, 11784-1225
Phone Number
631-580-4001
Fax Number
Provider Enumeration Date
06/25/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
90 Airpark Drive
City
Ronkonkoma
State
New York
Zip
11779
Phone Number
631-580-4001
Fax Number
person
Provider Business Mailing Address Details
Address
90 Airpark Drive
City
Ronkonkoma
State
New York
Zip
11779
Phone Number
631-580-4001
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
827294 (New York)
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
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