Organization · Type 2 NPI

Pederson Krag

Community/Behavioral Health Agency · Coram, NY

NPI number 1952736076 Active

Practice location

3600 Route 112
Coram, NY 11727-4116

Call (631) 853-8511 Map

Mailing address

102 Romito Ct
Bethpage, NY 11714-3221

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X086683 (NY)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1952736076

Pederson Krag's National Provider Identifier is 1952736076, issued on Sep 9, 2013. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Coram, NY. The record was last updated on Sep 9, 2013.