Organization · Type 2 NPI
State of New York
Intellectual Disabilities Intermediate Care Facility · Pinebush, NY
NPI number
1437299641
Active
Practice location
RR #1 Box 269B
Pinebush, NY 12566
Mailing address
44 Holland Ave
Albany, NY 12229-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 00271987 (NY) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1437299641
State of New York's National Provider Identifier is 1437299641, issued on Feb 7, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Pinebush, NY. The record was last updated on Jun 26, 2008.