Organization
NEW YORK FOUNDLING ICF AKA ST. AGATHA'S 6 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
6 DURYEA LN, NANUET, NY 10954-3105
(845) 623-3461
(845) 623-6244
Mailing address
590 AVENUE OF THE AMERICAS, NEW YORK, NY 10011-2019
(212) 633-9300
(212) 886-4008
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
11/29/2007
Last updated
06/18/2008
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