OrganizationActive
Doris Scrozzo
NPI 1093915993 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Glendale, NY
Provider details
- NPI number
- 1093915993
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Doris Scrozzo, Ota(718) 417-7118
- License
- 004291 (NY)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 004291 (NY)
Residential Treatment Facilities
Practice location
70-38 67th Street
Glendale, NY 11385
Phone: (718) 417-7118
Approximate (ZIP-level) locationGet directions
Mailing address
7030 67th St
Glendale, NY 11385-6661
Registry dates
- Enumerated
- 2007-07-19
- Last updated
- 2007-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.