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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
261QA0600X
Adult Day Care Clinic/Center
Primary
700330N
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01032911
NY
Enumeration date
04/10/2007
Last updated
12/08/2025
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