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NPI Code Detail

MEDICARE: NEW YORK INSTITUTE FOR SPECIAL EDUCATION

MEDICARE: NEW YORK INSTITUTE FOR SPECIAL EDUCATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1322D00000XEmotionally Disturbed Childrens' Residential Treatment Facility

General Provider Information

NPI Number : 1114147204
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW YORK INSTITUTE FOR SPECIAL EDUCATION
Provider Business Mailing Address
First Line : 999 PELHAM PKWY N
Second Line :
City : BRONX
State : NY
Zip : 10469-4905
Country : US
Telephone Number : 718-519-7000
Fax Number :
Provider Business Practice Location Address
First Line : 999 PELHAM PKWY N
Second Line :
City : BRONX
State : NY
Zip : 10469-4905
Country : US
Telephone Number : 718-519-7000
Fax Number :
Authorized Official
Title or Position : COORDINATOR OF HEALTH SERVICES
Name : MR. JOHN ANTONACCHIO
Credential : R.N.
Telephone Number : 718-519-7000
Provider Enumeration Date : 04/30/2007
Last Update Date : 08/22/2020

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Directions to “NEW YORK INSTITUTE FOR SPECIAL EDUCATION ” Practice Location

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