Organization
ST. MARY'S CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY A TARIQ (CEO)
(212) 665-5992
Entity
Organization
Contact information
Practice address
512 W 126TH ST, NEW YORK, NY 10027-2406
(212) 665-5992
(646) 619-6272
Mailing address
512 W 126TH ST, NEW YORK, NY 10027-2406
(212) 665-5992
(646) 619-6272
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01749568
—
NY
Enumeration date
02/23/2009
Last updated
02/23/2009
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