# ST. MARY'S HOSPITAL

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

## Provider details

- **NPI number:** 1992931232
- **Authorized official:** MRS. VIOLA EUNICE JOHNSON TEACHER (SPECIAL EDUCATION)
- **Authorized official phone:** (718) 968-2269

## Contact information

- **Practice address:** 9226 AVENUE J, BROOKLYN, BROOKLYN, NY 11236-3935
- **Practice address phone:** (718) 968-2269
- **Practice address fax:** (718) 968-2269
- **Mailing address:** 9226 AVENUE J, BROOKLYN, NEW YORK, NY 11236
- **Mailing address phone:** (718) 968-2269
- **Mailing address fax:** (718) 968-2269

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 379624681 | NY | Yes |

## Other

- **Enumeration date:** 06/01/2009
- **Last updated:** 06/01/2009
