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General NPI Number Information
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NPI Number | 1245576990
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Entity Type | Organization
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Legal Business Name | ATRIUM
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Dates
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Enumeration Date | 12/28/2012
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Last Update Date | 12/28/2012
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Provider Practice Location Address
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Address Line | 401 W ROUTE 59
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City | MONSEY
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State | NY
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Zip | 10952-3757
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Country | US
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Telephone | 845-356-0000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 801
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City | MONSEY
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State | NY
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Zip | 10952-0801
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Country | US
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Telephone | 845-356-0000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. STEVEN KOHN
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Credential |
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Telephone | 845-356-0000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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