STATE OF NEW YORK

Intermediate Care Facility, Intellectual Disabilities

Active Organization
NPI: 1720128796

Practice Address

888 FOUNTAIN AVE
Brooklyn, NY 11208

Phone: (518) 402-4333

Specialties

Specialty Code Primary License
Intermediate Care Facility, Intellectual Disabilities 315P00000X Yes 00235631 (NY)

Frequently Asked Questions

NPI 1720128796 is the National Provider Identifier for STATE OF NEW YORK, a Intermediate Care Facility, Intellectual Disabilities provider located in Brooklyn, NY. This NPI was enumerated on February 7, 2007.

Quick Facts

NPI
1720128796
Type
Organization
Enumerated
Feb 7, 2007
Last Updated
Jun 26, 2008

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