National Provider Identifier Database

TACONIC INNOVATIONS
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.


Contact Information

TACONIC INNOVATIONS
872 ROUTE 376
WAPPINGERS FALLS, NY12590-6464
Phone: 845-296-1042
Fax: 845-296-0801
Website:
Specialty Taxonomy Code
* Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X
Health Maintenance Organization 302R00000X

* Indicates primary specialty

NPI Profile & details for TACONIC INNOVATIONS

NPI Number 1841721644
Legal business name
LBN
TACONIC INNOVATIONS
Authorized official MATHIAS ONI-ESELEH - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 03/23/2017
Last updated 03/23/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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