NPI 1083753040

Nyfoundling Hosp Aka St Agathas 4 Duryea Lane

Organisation Intellectual Disabilities Intermediate Care Facility Nanuet, NY

Practice location

Address: 4 Duryea Lane 4 Duryea Lane, Nanuet, NY 10954-3105
Phone: (212) 633-9300
Mailing address: 590 Avenue of the Americas, New York, NY 10011-2019

Authorised official

Name: William F Baccaglini
Title: Executive Director
Phone: (212) 886-4075

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 07107444 (NY)

Other Intermediate Care Facility, Intellectual Disabilities providers in New York →

Registry record

NPI: 1083753040
Entity type: Organization
NPI issued: 6 Feb 2007
Record last updated: 12 Aug 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.