NPI 1124168075

State of New York

Organisation Intellectual Disabilities Intermediate Care Facility Melville, NY

Practice location

Address: Melville Estates St, Melville, NY 11747
Phone: (518) 402-4333
Mailing address: 44 Holland Ave, Albany, NY 12229-0001

Authorised official

Name: Karla Smith
Title: Director of Central Operations
Phone: (518) 402-4333

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 00227890 (NY)

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

Registry record

NPI: 1124168075
Entity type: Organization
NPI issued: 8 Feb 2007
Record last updated: 26 Jun 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.