National Provider Identifier Database

NYFOUNDLING HOSP AKA ST AGATHAS 4 DURYEA LANE
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

NYFOUNDLING HOSP AKA ST AGATHAS 4 DURYEA LANE
4 DURYEA LANE
4 DURYEA LANE
NANUET, NY10954-3105
Phone: 212-633-9300
Fax:
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for NYFOUNDLING HOSP AKA ST AGATHAS 4 DURYEA LANE

NPI Number 1083753040
Legal business name
LBN
NYFOUNDLING HOSP AKA ST AGATHAS 4 DURYEA LANE
Authorized official WILLIAM BACCAGLINI - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 02/06/2007
Last updated 08/12/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 07107444
  • NY Medicaid: 00697003

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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