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
126 E 126TH STREET
APT 6D
NEW YORK, NY10035-1702
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 1649591561
Legal business name
LBN
NYSARC INC NYC CHAPTER
Authorized official ROBER GUNDERSON - (ASSOCIATE EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 06/15/2010
Last updated 06/15/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • NY Other: 61980506 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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