Organization · Type 2 NPI

State of New York

Intellectual Disabilities Intermediate Care Facility · Melville, NY

NPI number 1124168075 Active

Practice location

Melville Estates St
Melville, NY 11747

Call (518) 402-4333 Map

Mailing address

44 Holland Ave
Albany, NY 12229-0001

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X00227890 (NY)

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

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About NPI 1124168075

State of New York's National Provider Identifier is 1124168075, issued on Feb 8, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Melville, NY. The record was last updated on Jun 26, 2008.