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Contact Information

BERKSHIRE FARM CENTER & SEVICES FOR YOUTH
3464 WEBSTER AVE
BRONX, NY10467
 Phone: 718-515-7972
 Fax: 718-515-7979
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for BERKSHIRE FARM CENTER & SEVICES FOR YOUTH

NPI Number 1740437136
LBN Legal business name BERKSHIRE FARM CENTER & SEVICES FOR YOUTH
Authorized official TIMOTHY GIACCHETTA - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/27/2008
Last updated 08/27/2008 - About 18 years ago
Identifiers
NY License # 051010545
NY Medicaid 02497758
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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