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Organization
MARTIN DE PORRES GROUP HOMES
Active
Organization
MARTIN DE PORRES GROUP HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP ROFRANO LCSW (PRESIDENT EXECUTIVE DIRECTOR)
(718) 527-0606
Entity
Organization
Contact information
Practice address
136 25 218TH STREET, SPRINGFIELD GARDENS, NY 11413-2226
(718) 527-0606
(718) 723-1528
Mailing address
136 25 218TH STREET, SPRINGFIELD GARDENS, NY 11413-2226
(718) 527-0606
(718) 723-1528
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
00328116
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00328116
—
NY
Enumeration date
10/04/2006
Last updated
08/22/2020
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