Organization · Type 2 NPI
State of New York
Intellectual Disabilities Intermediate Care Facility · Gordon Heights, NY
NPI number
1477693497
Active
Practice location
85 West Yaphank Rd
Gordon Heights, NY 11727
Mailing address
44 Holland Ave
Albany, NY 12229-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 00227845 (NY) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1477693497
State of New York's National Provider Identifier is 1477693497, issued on Feb 7, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Gordon Heights, NY. The record was last updated on Jun 26, 2008.