NPI 1114213824

Gotham

Organisation Mental Illness Intermediate Care Facility New York, NY

Practice location

Address: 116 John St., New York, NY 10038-3414
Phone: (212) 385-0086
Mailing address: 135 Watkins St, Brooklyn, NY 11212-6712

Authorised official

Name: Margaret Golden
Title: Executive Director
Phone: (212) 477-6100

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X Licence 641372 (NY)

Other Intermediate Care Facility, Mental Illness providers in New York →

Registry record

NPI: 1114213824
Entity type: Organization
NPI issued: 21 Jun 2011
Record last updated: 21 Jun 2011

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.