Organization
ST. MARY'S HOSPITAL FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FREDERIQUE ALTIDOR (MANAGER)
(718) 281-8688
Entity
Organization
Contact information
Practice address
2901 216TH ST, BAYSIDE, NY 11360-2810
(718) 281-8800
Mailing address
2901 216TH ST, BAYSIDE, NY 11360-2810
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7033901L
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02959144
—
NY
Enumeration date
07/11/2008
Last updated
01/26/2011
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