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Organization
NYFOUNDLING HOSPITAL AKA ST AGATHAS PELHAM MANOR ICF
Active
Organization
NYFOUNDLING HOSPITAL AKA ST AGATHAS PELHAM MANOR ICF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM F BACCAGLINI (EXECUTIVE DIRECTOR)
(212) 886-4075
Entity
Organization
Contact information
Practice address
1 SHOREVIEW CIRCLE, PELHAM MANOR, PELHAM MANOR, NY 10803
(212) 633-9300
Mailing address
590 AVENUE OF THE AMERICAS, NEW YORK, NY 10011
(212) 727-6977
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
07107440
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00518754
—
NY
Enumeration date
02/06/2007
Last updated
08/22/2020
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