National Provider Identifier Database

EDEN II SCHOOL FOR AUTISTIC CHILDREN
Intermediate Care Facility, Mentally Retarded

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.


Contact Information

EDEN II SCHOOL FOR AUTISTIC CHILDREN
150 GRANITE AVENUE
STATEN ISLAND, NY10303
Phone: 718-816-1422
Fax: 718-816-1428
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for EDEN II SCHOOL FOR AUTISTIC CHILDREN

NPI Number 1023150398
Legal business name
LBN
EDEN II SCHOOL FOR AUTISTIC CHILDREN
Authorized official DANIEL RAUCH - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart No
Enumeration date 02/13/2007
Last updated 07/16/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • NY Medicaid: 01296208

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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