Organization · Type 2 NPI

State of New York

Intellectual Disabilities Intermediate Care Facility · Queens Village, NY

NPI number 1992844641 Active

Practice location

238-01 Hillside Ave
Queens Village, NY 11427

Call (518) 402-4333 Map

Mailing address

44 Holland Ave
Albany, NY 12229-0001

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X230HILII (NY)

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

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About NPI 1992844641

State of New York's National Provider Identifier is 1992844641, 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 Jun 25, 2008.