National Provider Identifier Database

PUERTO RICAN FAMILY LACONIA
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

PUERTO RICAN FAMILY LACONIA
145 W 15TH ST FL 2
NEW YORK, NY10011-6701
Phone: 212-414-7822
Fax: 212-691-5635
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for PUERTO RICAN FAMILY LACONIA

NPI Number 1689864027
Legal business name
LBN
PUERTO RICAN FAMILY LACONIA
Authorized official KARL CINA - (CONTROLLER)
Entity Organization
Organization subpart No
Enumeration date 08/01/2007
Last updated 03/24/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 06270440
  • NY Medicaid: 00357135

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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