STATE OF NEW YORK

Intellectual Disabilities Intermediate Care Facility · QUEENS VILLAGE, NY

Organization Active NPI 1003447012

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Intellectual Disabilities Intermediate Care Facility315P00000X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.

STATE OF NEW YORK — NPI 1003447012