Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FAGAN RESIDENCE
Active OrganizationFAGAN RESIDENCE is a Intellectual Disabilities Residential Treatment Facility organization located in ELMONT, New York. NPI 1730209362 is currently active in the NPPES registry. Verify at CMS.
Intellectual Disabilities Residential Treatment Facility · ELMONT, NY
Registration Details
- NPI Number
- 1730209362
- Provider Type
- Organization
- NPI Issued
- Mar 29, 2007 (19.423872678181 yrs)
- Last Updated
- Aug 22, 2020
- License
-
6186445 (NY)
Practice Information
- Address
-
1504 DEPAUL STELMONT, NY, 110031900Browse NY providers · Browse ZIP 11003
- Phone
- 6316653434
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
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.