Organization
ST MARY'S HOSPITAL FOR CHILDREN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FREDERIQUE ALTIDOR (MANAGER)
(718) 281-8688
Entity
Organization
Contact information
Practice address
5 DAKOTA DR, NEW HYDE PARK, NY 11042-1107
(718) 281-8600
Mailing address
5 DAKOTA DR, SUITE 200, NEW HYDE PARK, NY 11042-1107
(718) 281-8600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7003901L
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00777468
—
NY
Enumeration date
02/01/2007
Last updated
01/24/2011
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