Organization
NYFOUNDLING HOSP AKA ST AGATHAS 10 DURYEA LANE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM F BACCAGLINI (EXECUTIVE DIRECTOR)
(212) 886-4075
Entity
Organization
Contact information
Practice address
10 DURYEA LANE, NANUET, NY 10954-3105
(212) 633-9300
Mailing address
590 AVENUE OF THE AMERICAS, NEW YORK, NY 10011-2019
(212) 727-6977
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
07107446
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00871756
—
NY
Enumeration date
02/06/2007
Last updated
08/12/2015
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