Organization
UNITED STATES CATHOLIC CONFERENCE ST. CABRINI HOME, INC.
Active
Organization
UNITED STATES CATHOLIC CONFERENCE ST. CABRINI HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIA BROGNANO (ACCTS RECEIVABLES)
(845) 383-3913
Entity
Organization
Contact information
Practice address
CABRINI HOME, INC., 2085 RT 9W, WEST PARK, NY 12493
(845) 384-6500
(845) 384-6001
Mailing address
CABRINI HOME, INC., 2085 RT 9W, WEST PARK, NY 12493
(845) 384-6500
(845) 384-6001
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
012789
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012789
LICENSE NUMBER
NY
05
—
02324550
—
NY
01
—
07317
NYSOASAS PRU NUMBER
NY
01
—
081111324
CERTIFICATE NUMBER
NY
01
—
41990
PROGRAM PROVIDER NUMBER
NY
Enumeration date
03/06/2007
Last updated
07/14/2008
Update your record
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