Healthcare Provider Details
I. General information
NPI: 1710130745
Provider Name (Legal Business Name): BEST FRIENDS SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/04/2008
Last Update Date: 11/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
504 SOUTHWOODS DR
MONTICELLO NY
12701-7231
US
IV. Provider business mailing address
504 SOUTHWOODS DR
MONTICELLO NY
12701-7231
US
V. Phone/Fax
- Phone: 845-794-6037
- Fax: 845-794-4429
- Phone: 845-794-6037
- Fax: 845-794-4429
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 252Y00000X |
| Taxonomy | Early Intervention Provider Agency |
| License Number | |
| License Number State | NY |
VIII. Authorized Official
Name: MS.
NANCY
MCDONALD
Title or Position: DIRECTOR
Credential: M.S. CCC
Phone: 845-794-6037