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
(718) 281-8800
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34600
EARLY INTERVENTION
NY
Enumeration date
01/28/2009
Last updated
02/03/2011
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