National Provider Identifier Database

PUERO RICAN FAMILY ICF 3
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

PUERO RICAN FAMILY ICF # 3
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 PUERO RICAN FAMILY ICF # 3

NPI Number 1699947374
Legal business name
LBN
PUERO RICAN FAMILY ICF # 3
Authorized official KARL CINA - (CONTROLLER)
Entity Organization
Organization subpart No
Enumeration date 04/02/2008
Last updated 04/02/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 06482441
  • NY Medicaid: 01113304

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.

Reviews for PUERO RICAN FAMILY ICF # 3

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