Medicaid
Medicaid is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Valley Stream, 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
329 W Jamaica AveValley Stream, NY 11580-5322
Phone: (516) 812-7614
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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 265009 (NY) |
|---|
Record details
| NPI number | 1609990712 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Manuella Silne Allonce — License Practical Nurse · (516) 812-7614 |
| NPI enumerated | March 16, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 329 W Jamaica Ave, Valley Stream, NY 11580-5322 |
Other providers in Valley Stream
-
Christopher Residence
70 McKeon Ave, Valley Stream, NY 11580-3904 · (631) 665-3434
-
Shaun Johnson
14 Ivanhoe Pl, Valley Stream, NY 11580-2902 · (917) 975-3906