NPI 1134240831
Bustamonte Residence
Practice location
- Address
- 664 Albin Ave, West Babylon, NY 11704-7402
- Phone
- (631) 665-3434
Authorised official
- Name
- Edwin M Kennedy
- Title
- Cfo
- Phone
- (516) 733-7000
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1134240831
- Entity type
- Organization
- NPI issued
- 2 Apr 2007
- Record last updated
- 22 Aug 2020
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.