# DEPARTMENT OF EDUCATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1639446354
- **Authorized official:** MRS. JUNELANDE COUTARD OTR/L (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (646) 436-6777

## Contact information

- **Practice address:** 281 9TH AVE, NEW YORK, NY 10001-5701
- **Practice address phone:** (212) 563-4886
- **Mailing address:** 11032 64TH RD, FOREST HILLS, NY 11375-1418
- **Mailing address phone:** (646) 436-6777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 0147411 | NY | Yes |

## Other

- **Enumeration date:** 11/23/2011
- **Last updated:** 11/23/2011