Organization · Type 2 NPI
Nyfoundling Hospital Aka ST Agathas Pelham Manor Icf
Intellectual Disabilities Intermediate Care Facility · Pelham Manor, NY
NPI number
1497894414
Active
Practice location
1 Shoreview Circle, Pelham Manor
Pelham Manor, NY 10803
Mailing address
590 Avenue Of The Americas
New York, NY 10011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 07107440 (NY) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1497894414
Nyfoundling Hospital Aka ST Agathas Pelham Manor Icf's National Provider Identifier is 1497894414, issued on Feb 6, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Pelham Manor, NY. The record was last updated on Aug 22, 2020.