THE SHIELD OF DAVID, INC.
Ambulatory Health at Roosevelt Ave, Flushing, NY

License number
New York 6593164
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. SUSAN PROVENZANO
Title: EXECUTIVE DIRECTOR
Phone: (718) 886-1682
Address
Address
144-61 Roosevelt Ave, Flushing, NY 11354
National Provider ID: 1184661290
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Shield of David, Inc

14461 Roosevelt Ave, Flushing, NY 11354

Industry:
Elementary/Secondary School Specialty Outpatient Clinic
Doing business as:
Shield Institute, The
Phone:
(718) 939-8700 (Phone), (718) 939-8364 (Fax)
Members:
Alexandria Mordan (Office Manager),Manuel Castrellon (Facilities Manager),Susan Provenzano (Executive Director),...
SIC6:
821104 - Kindergartens
Company size:
440

Shield of David, Inc

3909 214 Pl, Flushing, NY 11361

Industry:
Elementary/Secondary Sch Intermediate Care Faclty Residential Care Service, Mentally and Physically Retarded Home
Doing business as:
Mentally Retarded & Dvlpmntly<br>The Shield Institute
Site:
shield.org
Phone:
(718) 229-5757 (Phone), (718) 225-3159 (Phone)
Branch Manager:
Sue Samek (Branch Manager)
Categories:
Schools
Additional:
Elementary School, High School, Secondary School

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