Organization
ST.DOMINIC'S HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDY KYDON M.ED (CHIEF EXECUTIVE OFFICER)
(845) 359-3400
Entity
Organization
Contact information
Practice address
500 WESTERN HWY, BLAUVELT, NY 10913-2000
(845) 359-3400
(845) 359-4253
Mailing address
500 WESTERN HWY, BLAUVELT, NY 10913-2000
(845) 359-3400
(845) 359-4253
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
07159459
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02839536
—
NY
Enumeration date
03/05/2007
Last updated
09/20/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us