Organization · Type 2 NPI

State of New York

Intellectual Disabilities Intermediate Care Facility · Queens Village, NY

NPI number 1003447012 Active

Practice location

8045 Winchester Blvd Bldg 08
Queens Village, NY 11427-2194

Call (718) 217-4242 Map

Mailing address

44 Holland Ave Fl 4
Albany, NY 12208-3411

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1003447012

State of New York's National Provider Identifier is 1003447012, issued on Jan 29, 2020. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Queens Village, NY. The record was last updated on Jan 29, 2020.