NPI 1114130317

Ucpnyc

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

Practice location

Address: 175 Lawrence Ave, Brooklyn, NY 11230-1102
Phone: (718) 436-7600
Mailing address: 161 Lake St, Brooklyn, NY 11223-2734

Authorised official

Name: Esther M Fennimore
Title: RN
Phone: (718) 645-3125

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 226653 (NY)

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

Registry record

NPI: 1114130317
Entity type: Organization
NPI issued: 7 May 2007
Record last updated: 19 Feb 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.