Fagan Residence
Fagan Residence is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Elmont, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
Practice location Address checks out
1504 Depaul StElmont, NY 11003-1900
Phone: (631) 665-3434
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence 6186445 (NY) |
|---|
Record details
| NPI number | 1730209362 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Edwin Kennedy — Cfo · (516) 733-7000 |
| NPI enumerated | March 29, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1504 Depaul St, Elmont, NY 11003-1900 |