National Provider Identifier Database

NYSARC INC NYC CHAPTER
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

NYSARC INC NYC CHAPTER
16120 89TH AVE
APT 2A
JAMAICA, NY11432-3901
Phone: 212-780-2538
Fax:
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for NYSARC INC NYC CHAPTER

NPI Number 1629257381
Legal business name
LBN
NYSARC INC NYC CHAPTER
Authorized official ROBERT GOLDSMITH - (CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart No
Enumeration date 10/30/2007
Last updated 10/30/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • NY Medicaid: 02915057
  • NY Other: 06198491 NYS OMRDD

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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