Organization
INCARNATION CHILDREN'S CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE ADLER (VICE PRESIDENT OF FINANCE)
(646) 633-4710
Entity
Organization
Contact information
Practice address
142 AUDUBON AVE, NEW YORK, NY 10032-2102
(212) 928-2590
(212) 928-1500
Mailing address
142 AUDUBON AVE, NEW YORK, NY 10032-2102
(212) 928-2590
(212) 928-1500
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
7002357N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02072580
—
NY
Enumeration date
05/30/2007
Last updated
08/22/2020
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