# STONY FORD FOUNDATION INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053517201
- **Authorized official:** EDDIE DAVILA (MEDICAID BILLER)
- **Authorized official phone:** (845) 703-5523

## Contact information

- **Practice address:** 390 CRYSTAL RUN RD, SUIT 105, MIDDLETOWN, NY 10941
- **Practice address phone:** (845) 703-5523
- **Practice address fax:** (845) 703-2970
- **Mailing address:** 390 CRYSTAL RUN RD, SUIT 105, MIDDLETOWN, NY 10941
- **Mailing address phone:** (845) 703-5523
- **Mailing address fax:** (845) 703-2970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NY | Yes |

## Other

- **Enumeration date:** 06/25/2007
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01288944 | — | NY |
| 05 | — | 01387728 | — | NY |
| 05 | — | 01489761 | — | NY |
| 05 | — | 01790945 | — | NY |
| 05 | — | 02004126 | — | NY |
| 05 | — | 02008111 | — | NY |
| 05 | — | 02205801 | — | NY |
| 05 | — | 02528187 | — | NY |
| 05 | — | 02596610 | — | NY |
| 05 | — | 02702087 | — | NY |
| 05 | — | 02751820 | — | NY |