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Intrepid Of New York Inc
Home Health Agency in Queens Village, New York
NPI 1629050208

Intrepid Of New York Inc is a Home Health Agency based in Dallas, NY. Intrepid Of New York Inc practices in Queens Village, NY. The NPI Number for Intrepid Of New York Inc is 1629050208 and holds a License No. 1067L002 (New York).

The current practice location address for Intrepid Of New York Inc is 212-47 Jamaica Ave, Queens Village, NY and can be reached out via phone at 718-776-7760 and via fax at 718-776-7884.

Location: 212-47 Jamaica Ave, Queens Village, NY, 75244-5074
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629050208
Provider Name
Intrepid Of New York Inc
Credential
Provider Entity Type
Organization
Address
212-47 Jamaica Ave, Queens Village, NY, 75244-5074
Phone Number
718-776-7760
Fax Number
718-776-7884
Provider Enumeration Date
11/18/2005
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
02517095 05 NY
institution
Provider Business Practice Location Address Details
Address
212-47 Jamaica Ave
City
Queens Village
State
New York
Zip
11428-1632
Phone Number
718-776-7760
Fax Number
718-776-7884
person
Provider Business Mailing Address Details
Address
212-47 Jamaica Ave
City
Queens Village
State
New York
Zip
11428-1632
Phone Number
718-776-7760
Fax Number
718-776-7884
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
1067L002 (New York)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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