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Nysarc Inc Nyc Chapter
Intellectual Disabilities Intermediate Care Facility in Staten Island, New York
NPI 1477620581

Nysarc Inc Nyc Chapter is a Intellectual Disabilities Intermediate Care Facility based in New York, NY. Nysarc Inc Nyc Chapter practices in Staten Island, NY. The NPI Number for Nysarc Inc Nyc Chapter is 1477620581 and holds a License No. (New York).

The current practice location address for Nysarc Inc Nyc Chapter is 55 Galloway Ave, Staten Island, NY and can be reached out via phone at 212-780-2631 and via fax at 212-777-5893.

Location: 55 Galloway Ave, Staten Island, NY, 10038-4812
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477620581
Provider Name
Nysarc Inc Nyc Chapter
Credential
Provider Entity Type
Organization
Address
55 Galloway Ave, Staten Island, NY, 10038-4812
Phone Number
212-780-2631
Fax Number
212-777-5893
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00356794 05 NY
6198444 01 NY NYS OMRDD OPERATING CERT
institution
Provider Business Practice Location Address Details
Address
55 Galloway Ave
City
Staten Island
State
New York
Zip
10302-2527
Phone Number
212-780-2631
Fax Number
212-777-5893
person
Provider Business Mailing Address Details
Address
55 Galloway Ave
City
Staten Island
State
New York
Zip
10302-2527
Phone Number
212-780-2631
Fax Number
212-777-5893
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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