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Organization
SAINT JOHNS HOME FOR BOYS
Active
Organization
SAINT JOHNS HOME FOR BOYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARVING C IRIZARRY LMSW (DIRECTOR OF SPECIAL SERVICES & OPER)
(718) 945-2800
Entity
Organization
Contact information
Practice address
150 BEACH 110TH STREET, ROCKAWAY PARK, NY 11694
(718) 945-2800
(718) 945-4662
Mailing address
150 BEACH 110TH STREET, ROCKAWAY PARK, NY 11694
(718) 945-2800
(718) 945-4662
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NY
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
NULL
Other
Enumeration date
12/12/2006
Last updated
11/21/2016
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