Organization · Type 2 NPI

State of New York

Intellectual Disabilities Intermediate Care Facility · Ridge, NY

NPI number 1316087562 Active

About NPI 1316087562

State of New York's National Provider Identifier is 1316087562, issued on Feb 7, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Ridge, NY. The record was last updated on Jun 26, 2008.