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NPI Code Detail

MEDICARE: RICHMOND CHILDREN'S CENTER, INC

MEDICARE: RICHMOND CHILDREN'S CENTER, INC
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
1315P00000XIntellectual Disabilities Intermediate Care Facility7671443NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194997445
Entity Type Code : Organization
Provider Name (Legal Business Name) : RICHMOND CHILDREN'S CENTER, INC
Provider Business Mailing Address
First Line : 272 N BEDFORD RD
Second Line :
City : MOUNT KISCO
State : NY
Zip : 10549-1103
Country : US
Telephone Number : 914-471-4100
Fax Number : 914-471-4101
Provider Business Practice Location Address
First Line : 43 LAKE AVE
Second Line :
City : YONKERS
State : NY
Zip : 10703-2607
Country : US
Telephone Number : 914-968-2744
Fax Number : 914-968-4115
Authorized Official
Title or Position : CFO/VP FINANCE
Name : MR. MARK CAMPIONE
Credential :
Telephone Number : 914-471-4141
Provider Enumeration Date : 03/27/2008
Last Update Date : 03/27/2008

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Directions to “RICHMOND CHILDREN'S CENTER, INC ” Practice Location

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