Eating Disorder Treatment Of New York, Llc
Specialty details in registry · South Salem, NY
At a glance
171 Main St, South Salem, NY 10590-1210
NPPES record updated Jun 11, 2025. Public records can lag behind changes at a practice.
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Practice location
171 Main StSouth Salem, NY 10590-1210
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 261QM0855X
- Enumeration date
- May 12, 2021
- Record updated
- Jun 11, 2025
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
261QM0855X · Primary
Specialty details in registry
320800000X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
171 Main StSouth Salem, NY 10590-1210
- Phone
- (305) 663-1876
- Fax
- (786) 359-4485
Mailing address
6100 SW 76TH STSOUTH MIAMI, FL 331435002
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