Organization
STONY FORD FOUNDATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDDIE DAVILA (MEDICAID BILLER)
(845) 703-5523
Entity
Organization
Contact information
Practice address
390 CRYSTAL RUN RD, SUIT 105, MIDDLETOWN, NY 10941
(845) 703-5523
(845) 703-2970
Mailing address
390 CRYSTAL RUN RD, SUIT 105, MIDDLETOWN, NY 10941
(845) 703-5523
(845) 703-2970
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01288944
—
NY
05
—
01387728
—
NY
05
—
01489761
—
NY
05
—
01790945
—
NY
05
—
02004126
—
NY
05
—
02008111
—
NY
05
—
02205801
—
NY
05
—
02528187
—
NY
05
—
02596610
—
NY
05
—
02702087
—
NY
05
—
02751820
—
NY
Enumeration date
06/25/2007
Last updated
07/21/2022
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