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Organization
EDWIN GOULD SERVICES FOR CHILDREN AND FAMILIESQ
Active
Organization
EDWIN GOULD SERVICES FOR CHILDREN AND FAMILIESQ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AUBREY FEATHERSTONE MPA (EXECUTIVE DIRECTOR)
(212) 437-3560
Entity
Organization
Contact information
Practice address
1128 SHERMAN AVE, BRONX, NY 10456-5002
(718) 992-1310
(718) 537-7481
Mailing address
40 RECTOR ST, 12TH FLOOR, NEW YORK, NY 10006-1705
(212) 437-3500
(212) 437-3598
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
6009440
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00357153
—
NY
Enumeration date
03/23/2007
Last updated
08/22/2020
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