Organization
INTREPID OF NEW YORK INC
Active
Other names
Intrepid USA Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL D FOSTER (CEO)
(214) 445-3750
Entity
Organization
Contact information
Practice address
3939 MERRICK RD, FL2, SEAFORD, NY 11783-2823
(516) 781-7777
(516) 781-3252
Mailing address
4055 VALLEY VIEW LN, 5TH FLOOR, DALLAS, TX 75244-5074
(214) 445-3750
(214) 445-3902
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1067L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02517095
—
NY
Enumeration date
11/21/2005
Last updated
04/20/2016
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