Provider Demographics
NPI:1245593599
Name:DYNAMIC CENTER, INC
Entity Type:Organization
Organization Name:DYNAMIC CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SECAFICCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-651-2251
Mailing Address - Street 1:59 HELEN DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-6639
Mailing Address - Country:US
Mailing Address - Phone:845-537-6642
Mailing Address - Fax:
Practice Address - Street 1:59 HELEN DRIVE
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940
Practice Address - Country:US
Practice Address - Phone:845-537-6642
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency