NPI 1033593488
Beacon
Practice location
- Address
- 14838 Huxley St, Rosedale, NY 11422-2720
- Phone
- (917) 750-4929
Authorised official
- Name
- Lorraine L Beaton-Fung
- Title
- Nutritionist
- Phone
- (917) 750-4929
Registered specialties (2)
In Home Supportive Care Agency
Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Registry record
- NPI
- 1033593488
- Entity type
- Organization
- NPI issued
- 15 Jul 2015
- Record last updated
- 15 Jul 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.