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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 Specialty Code Provider Type

Intermediate Care Facility, Mentally Retarded

315P00000X
Indicates primary specialty

NPI Profile & details for PUERO RICAN FAMILY ICF # 3

NPI Number 1699947374
LBN Legal business name PUERO RICAN FAMILY ICF # 3
Authorized official KARL CINA - (CONTROLLER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/02/2008
Last updated 04/02/2008 - About 18 years ago
Identifiers
NY License # 06482441
NY Medicaid 01113304
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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