Organization · Type 2 NPI
Nyfoundling Hosp Aka ST Agathas 4 Duryea Lane
Intellectual Disabilities Intermediate Care Facility · Nanuet, NY
NPI number
1083753040
Active
Practice location
4 Duryea Lane, 4 Duryea Lane
Nanuet, NY 10954-3105
Mailing address
590 Avenue Of The Americas
New York, NY 10011-2019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 07107444 (NY) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1083753040
Nyfoundling Hosp Aka ST Agathas 4 Duryea Lane's National Provider Identifier is 1083753040, issued on Feb 6, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Nanuet, NY. The record was last updated on Aug 12, 2015.