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Organization
ST MARY'S HOSPITAL FOR CHILDREN, INC.
Active
Organization
ST MARY'S HOSPITAL FOR CHILDREN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FREDERIQUE ALTIDOR (MANAGER)
(718) 281-8688
Entity
Organization
Contact information
Practice address
5 DAKOTA DR, NEW HYDE PARK, NY 11042-1107
(718) 281-8600
Mailing address
5 DAKOTA DR, SUITE 200, NEW HYDE PARK, NY 11042-1107
(718) 281-8600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7003901L
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00777468
—
NY
Enumeration date
02/01/2007
Last updated
01/24/2011
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