Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDA CHIONG GORDONCILLO, MRS.
Active Sole ProprietorEDA CHIONG GORDONCILLO, MRS. is a Intellectual Disabilities Residential Treatment Facility healthcare provider located in NEW WINDSOR, New York. NPI 1558504043 is currently active in the NPPES registry. Verify at CMS.
Intellectual Disabilities Residential Treatment Facility · NEW WINDSOR, NY
Registration Details
- NPI Number
- 1558504043
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 13, 2009 (17.374989972684 yrs)
- Last Updated
- Apr 13, 2009
- License
-
011931-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17 GUERNSEY DRNEW WINDSOR, NY, 125538046Browse NY providers · Browse ZIP 12553
- Phone
- 8455627283
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.