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
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