National Provider Identifier Database

NEW YORK FOUNDLING ICF AKA ST AGATHAS 6 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

NEW YORK FOUNDLING ICF AKA ST. AGATHA'S 6 DURYEA LANE
6 DURYEA LN
NANUET, NY10954-3105
Phone: 845-623-3461
Fax: 845-623-6244
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for NEW YORK FOUNDLING ICF AKA ST. AGATHA'S 6 DURYEA LANE

NPI Number 1578745865
Legal business name
LBN
NEW YORK FOUNDLING ICF AKA ST. AGATHA'S 6 DURYEA LANE
Authorized official WILLIAM BACCAGLINI - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 11/29/2007
Last updated 06/18/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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