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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MEDICAID

Active Organization

MEDICAID is a Intellectual Disabilities Residential Treatment Facility organization located in VALLEY STREAM, New York. NPI 1609990712 is currently active in the NPPES registry. Verify at CMS.

Intellectual Disabilities Residential Treatment Facility · VALLEY STREAM, NY

Registration Details

NPI Number
1609990712
Provider Type
Organization
NPI Issued
Mar 16, 2007 (19.451833845368 yrs)
Last Updated
Aug 22, 2020
License
265009 (NY)

Practice Information

Address
329 W JAMAICA AVE
VALLEY STREAM, NY, 115805322
Browse NY providers · Browse ZIP 11580
Phone
5168127614

Other Intellectual Disabilities Residential Treatment Facility Organizations in VALLEY STREAM, NY

Name NPI
CHRISTOPHER RESIDENCE 1629198262
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.