Organization · Type 2 NPI
State of New York
Intellectual Disabilities Intermediate Care Facility · Howard Beach, NY
NPI number
1902945876
Active
Practice location
155-55 Cross Bay Blv
Howard Beach, NY 12229
Mailing address
44 Holland Ave, 5th Floor Central Operations
Albany, NY 12229-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 230HPARK (NY) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1902945876
State of New York's National Provider Identifier is 1902945876, issued on Feb 6, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Howard Beach, NY. The record was last updated on Jun 25, 2008.