Puero Rican Family Icf # 3
Puero Rican Family Icf # 3 is an Intellectual Disabilities Intermediate Care Facility in New York, New York. Licensed in New York. Registered with an NPI since 2008.
- Licensed in
- NY
- In the registry since
- 2008
Practice location Address checks out
145 W 15th St Fl 2New York, NY 10011-6701
Phone: (212) 414-7822
Fax: (212) 691-5635
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Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence 06482441 (NY) |
|---|
Record details
| NPI number | 1699947374 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Karl Cina — Controller · (212) 229-6921 |
| NPI enumerated | April 2, 2008 |
| Last updated in NPPES | April 2, 2008 |
| Mailing address | 194 W 180th St, Bronx, NY 10453-2905 |
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