Whalio Doctors

NPI 1033593488

Beacon

Organisation In Home Supportive Care Agency Rosedale, NY

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
Agencies Taxonomy 253Z00000X Licence 004244-1 (NY)
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320600000X Licence 004244-1 (NY)

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.