Organization · Type 2 NPI

State of New York

Intellectual Disabilities Intermediate Care Facility · Queens Village, NY

NPI number 1891834867 Active

Practice location

8045 Winchester Blvd
Queens Village, NY 11427-2193

Call (518) 402-4333 Map

Mailing address

44 Holland Ave
Albany, NY 12229-0001

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X230CORII (NY)

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

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About NPI 1891834867

State of New York's National Provider Identifier is 1891834867, issued on Feb 6, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Queens Village, NY. The record was last updated on Aug 27, 2008.