National Provider Identifier Database

ANDERSON CENTER FOR AUTISM
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

ANDERSON CENTER FOR AUTISM
4885 ROUTE 9
STAATSBURG, NY12580
Phone: 845-889-4034
Fax: 845-889-4623
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for ANDERSON CENTER FOR AUTISM

NPI Number 1750438586
Legal business name
LBN
ANDERSON CENTER FOR AUTISM
Authorized official TINA CHIRICO - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart No
Enumeration date 01/04/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 7118440
  • NY Medicaid: 01032677

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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