Organization · Type 2 NPI

State of New York

Intellectual Disabilities Intermediate Care Facility · Brooklyn, NY

NPI number 1720128796 Active

Practice location

888 Fountain Ave
Brooklyn, NY 11208-5907

Call (518) 402-4333 Map

Mailing address

44 Holland Ave
Albany, NY 12229-0001

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X00235631 (NY)

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

4 other providers at this address

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About NPI 1720128796

State of New York's National Provider Identifier is 1720128796, issued on Feb 7, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Brooklyn, NY. The record was last updated on Jun 26, 2008.