Provider Demographics
NPI:1942565015
Name:ACLD KRAMER LEARNING CENTER
Entity Type:Organization
Organization Name:ACLD KRAMER LEARNING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:NOREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CLEMENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-665-1900
Mailing Address - Street 1:1428 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706-4147
Mailing Address - Country:US
Mailing Address - Phone:631-665-1900
Mailing Address - Fax:631-665-1377
Practice Address - Street 1:1428 5TH AVE
Practice Address - Street 2:
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706-4147
Practice Address - Country:US
Practice Address - Phone:631-665-1900
Practice Address - Fax:631-665-1377
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADULTS AND CHILDREN WITH LEARNING AND DEVELOPMENTAL DISABILITIES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-07-05
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY580501880003261QD1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities