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Organization
STATE OF NEW YORK
Active
Organization
STATE OF NEW YORK
Active
Parent organization
STATE OF NEW YORK
Other names
B Fineson DC Howard Park ICF
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF NEW YORK
Authorized official
KARLA SMITH (DIRECTOR OF CENTRAL OPERATIONS)
(518) 402-4333
Entity
Organization
Contact information
Practice address
155-55 CROSS BAY BLV, HOWARD BEACH, NY 12229
(518) 402-4333
Mailing address
44 HOLLAND AVE, 5TH FLOOR CENTRAL OPERATIONS, ALBANY, NY 12229-0001
(518) 402-4333
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
230HPARK
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01327279
—
NY
Enumeration date
02/06/2007
Last updated
06/25/2008
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