East End Kids Therapy, Inc.
NPI #1265562979 in Southampton, New York
Provider Information
- NPI Number
- 1265562979
- Entity Type
- Organization
- Organization Name
- East End Kids Therapy, Inc.
- Primary Specialty
- Home Health
- Enumeration Date
- Mar 6, 2007
- Last Updated
- Apr 10, 2012
Practice Location
- Address
- 502 N SEA RD
- City
- Southampton
- State
- New York
- ZIP Code
- 11968-2012
- Phone
- (631) 267-2900
Authorized Official
- Name
- DR. STEPHEN PETER SICILIAN, PSYCHOLOGIST
- Title
- EXECUTIVE DIRECTOR
- Phone
- (631) 267-2900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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