NPI 1053583229

St.Vincent Services Ira

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Brooklyn, NY

Practice location

Address: 66 Boerum Pl, Brooklyn, NY 11201-5705
Phone: (718) 522-3700
Fax: (718) 488-7618
Mailing address: 1441 E 92nd St, Brooklyn, NY 11236-5007

Authorised official

Name: Jeffrey Benenati
Title: Controller
Phone: (718) 522-3700

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 02112729 (NY)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in New York →

Registry record

NPI: 1053583229
Entity type: Organization
NPI issued: 28 Mar 2008
Record last updated: 28 Mar 2008

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.