Organization
ST DOMINIC'S HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH D KYDON (PRESIDENT/CEO)
(845) 359-3400
Entity
Organization
Contact information
Practice address
2340 ANDREWS AVE, BRONX, NY 10468-6001
(845) 359-3400
(845) 359-4023
Mailing address
500 WESTERN HIGHWAY, BLAUVELT, NY 10913
(845) 359-3400
(845) 359-4023
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
11/09/2010
Last updated
12/28/2016
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