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Contact Information

SAINT JOHNS HOME FOR BOYS
150 BEACH 110TH STREET
ROCKAWAY PARK, NY11694
 Phone: 718-945-2800
 Fax: 718-945-4662
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Residential Treatment Facility, Emotionally Disturbed Children

322D00000X
Indicates primary specialty

NPI Profile & details for SAINT JOHNS HOME FOR BOYS · (Female)

NPI # 1396806881
Status Active
Credentials
Entity Individual
Enumeration date 12/12/2006
Last updated 11/21/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY Medicaid 00327748
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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